ISSN: 2161-0681

Journal of Clinical & Experimental Pathology
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  • Case Report   
  • J Clin Exp Pathol 2016, Vol 6(2): 270
  • DOI: 10.4172/2161-0681.1000270

Lipomata of the Brachial Plexus Causing Neurogenic and Venous Thoracic Outlet Syndrome: Case Reports and Review of the Literature

Kuyumdzhiev S1, Rogoveanu R1, Power D2 and Vohra R1*
1Department of Vascular Surgery, Queen Elizabeth Hospital Birmingham, UK
2Department of Trauma and Orthopaedic Surgery, Queen Elizabeth Hospital Birmingham, UK
*Corresponding Author : Vohra R, Department of Vascular Surgery, Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham, NHS Foundation Trust, Mindelsohn Way, Edgbaston, Birmingham, UK, Tel: 07447935089, Email: rajiv@vohra.org.uk

Received Date: Mar 26, 2016 / Accepted Date: Apr 21, 2016 / Published Date: Apr 22, 2016

Abstract

Compression of the brachial plexus causing neurogenic symptoms is a common presentation in the majority of cases referred to vascular surgeons with thoracic outlet syndrome. The causative factor of the compression can be difficult to diagnose with multiple pathologies implicated. Lipomas are benign soft tissue tumours with progressive expansion in volume. Along with frequently aesthetic consequences, lipomas can also apply extrinsic pressure on surrounding tissues and structures especially in constrained space and outlets in body. Lipomas causing brachial plexus compression are rare; fourteen cases have been described in the literature worldwide. We present two cases of supraclavicular lipomata causing compression of the neurovascular structures in the thoracic outlet. We highlight that there are a small number of neurogenic thoracic outlet syndrome (N-TOS) cases where the pathology is managed wholly by surgery and good recovery can be expected.

Keywords: Thoracic outlet syndrome; Neurogenic; Venous; Lipoma; Brachial plexus

Citation: Kuyumdzhiev S, Rogoveanu R, Power D, Vohra R (2016) Lipomata of the Brachial Plexus Causing Neurogenic and Venous Thoracic Outlet Syndrome: Case Reports and Review of the Literature. J Clin Exp Pathol 6:270. Doi: 10.4172/2161-0681.1000270

Copyright: © 2016 Kuyumdzhiev S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Review summary

  1. Jodon N
    Posted on Jul 14 2016 at 11:48 pm
    The cases are well explained from a medical point of view. The manuscript is well written and patient examples are well chosen. Since the number of cases is still restricted, it deserves further study and research. The authors should consider including psychological aspects of patients with lipoma in the manuscript.
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