Journal of Case Reports in Medicine,2021,10,1,27-30.
Background: We report our unique case of the biggest documented giant lipoma of the right supraclavicular fossa. This case is significant as, to our knowledge, this is the largest case in medical literature of a lipoma which has been removed from this region and highlights the potential resultant airway challenges. Results: This giant lipoma of the right supraclavicular fossa presented in a 63 year old Caucasian male, who described a 20 year history of a slow growing, asymptomatic lesion in this region. Magnetic Resonance Imaging (MRI) aided pre-operative surgical planning and the lesion was found to extend posteriorly to under the trapezius and to the back musculature. The most appropriate treatment modality was surgical resection and following this, the lesion was found to weigh 2.5kg. Conclusion: Giant lipomas of this size are rare entities in the head and neck region. This is a report of the successful removal of the largest documented giant lipoma of the supraclavicular fossa. Surgical resection was completed without complication, with no recurrence to date and a large improvement in the patient’s quality of life.