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Clinical Problem Solving: Radiology
Apr 2012

Radiology Quiz Case 2: Diagnosis

Author Affiliations


Arch Otolaryngol Head Neck Surg. 2012;138(4):425. doi:10.1001/archoto.2012.193b

Diagnosis: Retropharyngeal prevertebral lipoma

Lipomas are benign neoplasms that originate from mesenchymal tissue.1 Despite being common in adults, they are rare in the pediatric population.2 In all age groups, lipomas are most commonly subcutaneous and only rarely arise from deep mesenchymal tissues.3 The most frequent locations are the trunk and limbs, with only 13% arising in the head and neck.4,5 In the head and neck, the common sites for lipomas are the supraclavicular fossa and the lateral and posterior subcutaneous areas of the neck.6,7