Alish Rajesh Mehta1, Vikram Sharma2, Sandeep Dave3
A 58–year-old man presented to the Department of General Surgery with a
complaint of a lump on his back. The lump was painless. He had been aware of
the lipoma for five years. However, the lesion had enlarged ever since. The lump
prevented him from lying in the supine position, causing difficulty while sitting in
an erect position and dressing. His physical appearance embarrassed him, which
prevented him from going out. In this patient, there was no relevant family history,
chronic systemic disease, or any specific predisposing factors. Physical
examination was done, which revealed a fully mobile mass with distinct borders
and thickening of skin over its apex. It was found localized in the mid-thoracic
region with extension from the cervical region to the upper lumbar region (figure
1). History of surgery done was 30 to 40 years ago at the same site when swelling
was present. Scar of the previous surgery was seen and was healthy. The
indication, type of procedure, or the records of the same were not available with
the patient.
