"This condition is rare as a primary growth," according to Cushing,1 "though the diffuse, symmetrical lipomata of the neck may extend to some extent on to the occipital region. Grosch, in a record of 685 lipomata found only 2 per cent, on the scalp."
Herz2 removed two lipomas from a man of 45, located on the back of the neck and occiput, respectively.
The former was 3 and the other 1½ inches wide. While moving under the skin, they were firmly adherent to the fascia. No drainage was used in the upper wound, and later there was another tumor removed nearby and of the same size.
Ochsner,3 commenting on this report, wrote that both these locations are unusual for fatty tumors, which prefer the ends of the limbs near the trunk and the trunk itself. Sometimes they are encountered at the other ends of the limbs, hands and feet.
CUTLER GD. LIPOMA OF THE SCALP: REPORT OF CASE. JAMA. 1925;84(6):421–422. doi:10.1001/jama.1925.02660320013005
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