Yonago Acta medica 2005;48:101-106
Benign Symmetric Lipomatosis: A Patient Report
Yoshiyuki Tanji, Noriko Ikeda, Masami Shibata, Isamu Kodani, Kazuhito Tobashi, Kazunori Kidani, Fumihiro Otake, Kazuhiko Tanio and Kazuo Ryoke
Division of Oral and Maxillofacial Biopathological Surgery, Department of Medicine of Sensory and Motor Organs, School of Medicine, Tottori University Faculty of Medicine, Yonago, 683-8504 Japan
Benign symmetric lipomatosis (BSL) is a disease characterized by symmetrical and diffuse adipose tissue deposits on the neck, shoulder, chest, abdomen and groin. It is comparatively common in the Mediterranean basin, but rare in Japan. We report on a 53-year-old male patient with BSL along with a review of the literature. The lesions were distributed bilaterally in the submandibular, neck and upper back region. This patient had consumed an excessive amount of alcohol with elevated liver enzymes including aspartate aminotransferase (133 IU/L), alanine aminotransferase (159 IU/L) and gamma-glutamyl transpeptidase (355 IU/L). The liver function was normalized after a 1-year restriction of alcohol consumption through life management. Tumors in the posterior and anterior cervical regions were resected. The patient is still in a good condition at 3 years and 5 months after the operation.
Key words: alcoholic hepatopathy disease; benign symmetric lipomatosis