Hibernoma
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Hibernoma | |
---|---|
Diagnosis in short | |
Hibernoma. H&E stain. | |
| |
LM | large polygonal/oval cells with central & small nucleus; nucleoli typically prominent; cytoplasm multivacuolated, oval, eosinophilic, granular |
LM DDx | reaction to silicone implant |
Gross | lobulated lesion, light-brown, usually extremities |
Site | cervical-supraclavicular, periaortic - both thorax and the abdomen, perirenal; see soft tissue - adipocytic lesions |
| |
Clinical history | typically young adults |
Prevalence | uncommon |
Prognosis | benign |
Clin. DDx | Lipoma |
Hibernoma, also tumour of brown fat,[1] is an uncommon adipocytic tumour.
General
- Consists of brown fat (present in the infants to generate heat).[2]
- Benign.
- Usually asymptomatic.[3]
Epidemiology:
- Young adults - disappears with age.[4]
Gross
- Well-circumscribed.
- Lobulated and light-brown on sectioning.
Locations:[4]
- Cervical-supraclavicular.
- Periaortic - both thorax and the abdomen.
- Perirenal.
Microscopic
Features:[5]
- Large polygonal/oval cells:
- +/-Prominent blood vessels, central.[8]
DDx:
- Reaction to silicone implant.
Images
See also
References
- ↑ SHUTE, D. (Nov 1954). "Tumours of brown fat.". Can Med Assoc J 71 (5): 484-5. PMID 13209434.
- ↑ Humphrey, Peter A; Dehner, Louis P; Pfeifer, John D (2008). The Washington Manual of Surgical Pathology (1st ed.). Lippincott Williams & Wilkins. pp. 605. ISBN 978-0781765275.
- ↑ Ahmed SA, Schuller I (December 2008). "Pediatric hibernoma: a case review". J. Pediatr. Hematol. Oncol. 30 (12): 900–1. doi:10.1097/MPH.0b013e318184e6dd. PMID 19131775.
- ↑ 4.0 4.1 Zoico E, Rubele S, De Caro A, Nori N, Mazzali G, Fantin F, Rossi A, Zamboni M (2019). "Brown and Beige Adipose Tissue and Aging". Front Endocrinol (Lausanne) 10: 368. doi:10.3389/fendo.2019.00368. PMC 6595248. PMID 31281288. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6595248/.
- ↑ Chen DY, Wang CM, Chan HL (March 1998). "Hibernoma. Case report and literature review". Dermatol Surg 24 (3): 393–5. PMID 9537018.
- ↑ http://www.pathconsultddx.com/pathCon/diagnosis?pii=S1559-8675(06)70271-6
- ↑ http://surgpathcriteria.stanford.edu/softfat/hibernoma/
- ↑ URL: http://radiographics.rsna.org/content/24/5/1433.full. Accessed on: 11 February 2013.