The patient had painful shoulder movement that could have been attributed to rotator cuff and acromioclavicular joint disease. However, magnetic resonance imaging and electromyography were compatible with trapping of the suprascapular nerve. The treatment of rotator cuff disease and excision of the lipoma led to the resolution of the patient's symptoms. This case is presented as an unusual cause of suprascapular nerve entrapment with a review of its course and anatomy.
In severe cases, the pain can worsen with movement. The exact reason for the pain associated with Dercum's disease is unknown, but can occur because lipomas press on the neighboring nerves. Lipomas can be found in any part of the body, although they are rare in the head and neck. The trunk, arms and upper legs are most commonly affected. Some people with Dercum can experience swelling of various areas of the body, especially the hands. Swelling occurs for no apparent reason and often goes away without treatment. Significant weight gain is a common occurrence for most individuals affected by Dercum disease.
Multiple familial lipomatosis is a rare genetic disease characterized by by the formation of multiple benign masses or adipose tissue growths (lipomas). often affect the arms and legs (extremities). The size and number of lipomas vary from case to case. Some people can develop hundreds of small lipomas that do not cause symptoms (asymptomatic). Unlike Dercum's disease, lipomas do not cause pain. The neck and shoulders are generally not affected.
Recognition of this benign vulvar swelling is important to differentiate it from cystic swellings and malignant neoplasms of the vulva. We are grateful to the women for giving their consent to the publication of their files. National Biotechnology Information Center, National Medical Library of the United States 8600 Rockville Pike, Bethesda MD, 20894 United States Criteria for Surgical Pathology.