PEDUNCULATED LIPOFIBROMA A RARE CASE, CASE REPORT

Abstract

Lipofibroma is a benign soft tissue neoplasm characterized by the proliferation of mature adipose tissue interspersed with collagen fibers. Although histologically benign, its uncommon clinical presentation can lead to diagnostic challenges, oftenmimic king other subcutaneous lesions such as lipomas, dermatofibromas, or even malignant soft tissue tumors. We present the case of a 26-year-old male who sought medical evaluation for a slow-growing mass in the right gluteal region, with an 11-year history of progression. The lesion caused discomfort during prolonged sitting and physical activity. The patient had no relevant medical history. Physical examinationrevealed a 4 cm pedunculated, mobile, and non-tender mass. Histopathological analysis demonstrated a central fibrovascular core with dense collagen bands admixed withmature, non-encapsulated adipocytes, confirming the diagnosis of lipofibroma. Given the symptomatic nature of the lesion, surgical excision was performed as definitive treatment, resulting in complete resolution and an uneventful postoperative recovery. In conclusion, pedunculated lipofibroma is a rare benign tumor that requires careful differential diagnosis to rule out other soft tissue lesions. Surgical resection remains the gold standard for symptomatic cases, ensuring both functional and cosmetic success. This case highlights the importance of histopathological confirmation in guiding appropriate management, as clinical presentation alone may be insufficient for accurate diagnosis. Furthermore, it underscores the favorable prognosis associated with complete excision, with no reported recurrence in this patient. Awareness of this entity can aid clinicians in avoiding misdiagnosis and ensuring optimal patient outcomes.