A giant retropharyngeal space lipoma: a case report and review of the literature - Report - MDSpire

A giant retropharyngeal space lipoma: a case report and review of the literature

  • By

  • Takashi Koike

  • Ryo Takagi

  • Kosei Mori

  • Kengo Kanai

  • Yoshihiro Watanabe

  • Mitsuhiro Okano

  • Yoshihiro Noguchi

  • Yuichiro Hayashi

  • Mina Komuta

  • Yorihisa Imanishi

  • June 24, 2026

  • 0 min

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Clinical Report: A Case Study of a Large Retropharyngeal Lipoma

Background

Retropharyngeal lipomas are rare benign tumors that can grow significantly without causing symptoms, leading to late diagnosis. Their potential to cause compressive symptoms necessitates awareness among clinicians, particularly regarding giant RPLs, which may require specialized surgical approaches. Recent reviews indicate a higher prevalence in males and a wide range of clinical symptoms attributed to pressure effects on adjacent structures.

Data Highlights

No numerical data or trial data provided in the article.

Key Findings

  • Giant RPLs can present with symptoms such as dysphagia, dyspnea, and snoring.
  • Imaging techniques like CT and MRI are crucial for diagnosing RPLs.
  • Surgical excision is the primary treatment, often via transcervical approach.
  • Prophylactic tracheostomy may be necessary depending on the size and symptoms of the RPL.
  • Histopathological examination confirms the diagnosis of lipoma post-excision.

Clinical Implications

Clinicians should consider giant RPL in differential diagnoses for patients with progressive dysphagia and respiratory symptoms.

Conclusion

This case emphasizes the importance of recognizing giant RPLs. Further literature review indicates a higher prevalence in males and variability in clinical presentation.

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