To the Editor.—
Lipoma is a common tumor composed of mature fat cells usually found in the subcutaneous tissue or, less commonly, in internal organs. A diffuse multilobular lipomatosis involving the back of the neck and the shoulders in a capelike distribution has been described among wine porters in France and brewery workers elsewhere1 and is referred to as Madelung's neck.I describe herein a patient in whom such a multilobular lipoma developed on the left shoulder, due possibly to long-term, intermittent trauma caused by a heavy purse carried over this shoulder for many years.
Report of a Case.—
A 39-year-old woman was seen because of a tumor on her left shoulder that she had noticed about three months earlier. There had been no associated symptoms. The patient stated that she had carried a heavy handbag on this shoulder for about 15 years. Examination disclosed that the tumor was
Brenner S. Lipoma on the Shoulder in Site of Chronic Trauma. Arch Dermatol. 1983;119(6):450–451. doi:10.1001/archderm.1983.01650300004003
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