Congenital angiolipoma of the chest wall in a child: A case report and review of literature

Abstract

Angiolipoma is the most common soft tissue tumor in human trunk and extremities, mostly affecting young male patients; however, in children, it occurs rarely and the most involved area has not been determined. A 9 year old girl was admitted to the pediatrics ward because of a newly arousal of pain associated with suddenly rapid increasing of the size of an old mass on the right side of her chest wall for almost one month without any history of trauma to the area; she had the lesion since her birthday. Otherwise, her physical examination and laboratory tests were unremarkable. Findings of different types of imaging of the mass were in favor of a benign chest wall lesion. A surgical excision was performed and histopathologic report of the lesion was consistent with typical features of a non-infiltrating angiolipoma. The patient recovered uneventfully with complete resolution of lesion. No recurrence of the tumor was observed in the patient in the following 30 months. This report seems to be the first documented case of congenital non-infiltrating angiolipoma of the chest wall in a child. Review of literature has shown that in children, angiolipoma is mostly a single, benign lesion commonly appears in the face or the spinal region, with complete recovery after a simple surgical excision and no recurrence.

Keywords: Angiolipoma, non-infiltrating, child, chest wall, review.

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