Lipome Géant Fessier Ulcéré chez un Sexagénaire après un Traitement Traditionnel

RESUME Le lipome est une tumeur de type mesenchymateux et il est considere geant, s’il mesure au moins 10 cm de grand axe ou pese au moins 1000 grammes. Il s’agit d’une occurrence rare. Nous rapportons le cas d’un patient de 69 ans avec un lipome geant ulcere apres un traitement traditionnel non reussi. Le traitement chirurgical a consiste en l’exerese totale de la masse. La piece chirurgicale mesurait 23 x 15 x 12 cm et pesait 2070 grammes. Les suites operatoires ont ete simples. Le traitement traditionnel peut amener des difficultes de diagnostic clinique. Le traitement definitif reste eminemment chirurgical. ABSTRACT Lipoma is a mesenchymal tumor that is considered giant if it measures more than 10 cm in its largest dimension or weighs more than 1000 grams. Such occurrences are rare. We report the case of a 69-year-old patient with a ulcerated giant ten-year-old lipoma after unsuccessful traditional treatment. Surgical treatment consisted in total tumor excision. The excised piece measured 23 x 15 x 12 cm and weighted 2070 grams. The postoperative course was simple. Traditional treatment can induce transformations that make the clinical diagnosis of lipoma more difficult. However, the definite treatment is surgical.