LIPOFIBROMA OF THE NECK-SUPRACLAVICULAR REGION. A CASE REPORT

Aim. Improving the quality of diagnosis and treatment of patients with lipomas. Materials and methods. The article presents the case of a patient with a neoplasm of the left cervical-supraclavicular region, painful on palpation, with signs of neurovascular plexus encroachment and manifestations of hemodynamic, neurological, and trophic disorders distal to the neoplasm. A lipoma is a neoplasm that can appear at any age and have any size and any location. More often these are areas of the body, and a small percentage accounts on the head and neck region. Due to the rare location of this nosological unit in the cervical-supraclavicular region, it makes sense to present each case for a more detailed study. Results. Lipomas have a low rate of malignancy, slow growth and relatively small size. However, their significant increase and deep location can lead to significant disturbances in the work of internal organs and structures, causing pain, structural, functional and other disorders. The presented case of lipofibroma of rare localization of the cervical-supraclavicular region caused significant disturbances in the work of the neurovascular plexus of the shoulder girdle and upper limb. The large size of the neoplasm caused pain, reduced muscle strength and trophic tissue distal to the neoplasm, caused significant hemodynamic disturbances with congestion, which significantly worsened the patient's quality of life. Because of that, an important decision was to perform surgical intervention with complete removal of the pathological formation. Conclusions. Having a benign course, lipomas do not require surgical treatment, excluding cases when their presence worsens the quality of life of patients. Management tactics and the method of treatment are determined in each specific case, taking into account all advantages and possible complications. Considering the complexity of the location of deep lipomas and the possibility of damage the internal structures, it is important to entrust surgical interventions only to surgeons with sufficient experience.