Giant Breast Lipoma Presenting with Right Breast Triple Size the Left Breast Associated with Pain and Limitation of Activity: A Case Report

Lipoma of the breast often causes diagnostic and therapeutic uncertainty. Clinically, it may be difficult to distinguish a lipoma from other conditions. Lipoma must be differentiated from a similar benign tumor, a mammary hamartoma, and pseudolymphoma. In our case, a 38-year-old lady, mother of three children, was found to have a giant lipoma of the breast, which was not detected on initial clinical evaluation. Further assessment with ultrasound showed a picture of the giant lipoma with the possibility of fat necrosis within the lipoma. Following resection, there was no deformed breast because of the exact resection of the lesion with the guidance of ultrasound mapping and marking the exact border of the lesion one hour preoperative. This case illustrates the accuracy of the excision and the very good cosmetic outcome. The patient presented six months after excision with excellent clinical results and negative residual abnormal tissue on the radiological study.