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Facial infiltrating lipomatosis: A case report and review of literature.
[proteus syndrome]
Infiltrating
lipomatosis
of
the
face
has
been
described
as
a
congenital
disorder
in
which
mature
lipocytes
invade
adjacent
tissues
in
the
facial
region
.
The
presentation
is
always
unilateral
with
hypertrophy
of
hard
and
soft
structures
on
the
affected
side
of
the
face
.
We
present
a
case
of
a
27
-
year
-old
female
who
reported
with
a
complaint
of
recurrent
unilateral
facial
swelling
with
history
of
two
previous
resections
,
the
histopathology
or
details
of
these
surgeries
were
not
available
.
The
patient
underwent
resection
of
tumour
and
the
histopathology
confirmed
it
to
be
infiltrating
lipomatosis
.
The
surgery
resulted
in
a
definite
improvement
in
the
facial
asymmetry
and
the
patient
is
being
closely
followed
up
with
no
evidence
of
recurrence
.
The
pathogenesis
of
the
condition
is
unclear
,
though
it
has
been
postulated
that
the
condition
is
at
one
end
of
a
spectrum
of
overgrowth
syndromes
with
classic
Proteus
syndrome
on
the
other
extreme
.
Management
of
this
condition
involves
resection
of
the
tumour
which
in
most
cases
is
subtotal
to
reduce
the
risk
of
damage
to
facial
nerve
.
There
is
a
controversy
regarding
both
timing
and
extent
of
resection
in
the
literature
and
we
think
the
subtotal
resection
of
tumour
in
an
adolescent
or
older
patient
can
give
good
aesthetic
outcome
without
compromising
facial
nerve
function
.
However
,
the
patients
should
be
informed
about
high
rate
of
recurrence
and
increase
risk
of
complications
with
any
subsequent
surgery
.
