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Giant Lipoma of the Breast

A 64-year-old woman was admitted to the hospital after a fall. Her past medical history was remarkable for a large left sided breast mass for which she had declined medical treatment so far. She reported that over the past 25 years the circumscript mass in her left breast had increased in size from originally 1 cm to about 50 cm across presently. Physical examination disclosed a nontender mass originating in the left upper quadrant in the left breast with a small necrotic area with putrid secretion. Laboratory workup revealed a raised c-reactive protein of 239 mg ⁄ L (<5 mg ⁄ L). A CT scan of the chest and the abdomen was performed (Fig. 1). The patient underwent an uncomplicated complete resection of the breast mass and had an uneventful recovery being discharged after 8 days. In the histologic examination, the findings were consistent with a necrotizing lipoma. The resected specimen weighted 15.5 kg (31 lbs) and measured 50 · 40 · 30 cm (Fig. 2). (a)