Lipoblastoma (Pediatrics)

  • Lipoblastoma is an uncommon benign adipocytic tumor of infant and early childhood.
  • It accounts for approximately 30% of adipocytic tumors in children.
  • It is usually diagnosed within the first 3 years of life and only rarely seen over the age of 8 years.
  • The treatment of choice is wide surgical excision
  • Imaging finding
    • USG
      Lipoblastoma more often appears as relatively homogeneous hyperechoic mass.
    • MR
      Well-lobulated masses with high signal intensity on T1- and T2-weighted images reflecting high-fat content.
      Liposarcoma is hardly differentiated from lipoblastoma, but liposarcoma is extremely rare in children.

lipoblastoma MR
Lipoblastoma (F/2) well defined about 2.3 cm heterogenous fat containing mass at Lt. paranasal area without evidence bone destruction.
Note the signal of mass is suppressed on fat saturation sequence.

lipoblastoma ultrasonography
Lipoblastoma (F/2)
Well defined hyperechoic mass on USG

lipoblastoma CT
Lipoblastoma (F/2)
Fat attenuated mass in left paranasal area with internal interspersed soft tissue density showing enhancement
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