case_images: PMC6326107_01
case_images: Preoperative physical examination (61 years old: body weight 63 kg). Symmetrical, painless, bulging soft masses were seen on the posterior neck, shoulders, upper arms, chest and back.
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case_images: He had first noticed the lesions on his shoulders 5 years previously, and they appeared gradually on his upper arms, chest and back (Fig. 1).
case_images: (a) Resected fatty masses. The adipose tissue was white, slightly large, uniform in size and brittle. (b) Histopathological findings (hematoxylin and eosin staining, original magnification x100). Histopathological examination showed relatively small adipose cells with a slight increase in vascular elements without malignancy.
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case_images: The adipose tissue was white, slightly large, uniform in size, brittle and non-encapsulated (Fig. 2a). Histopathological examination showed relatively small adipose cells without malignancy (Fig. 2b).
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case_images: Postoperative physical examination (63 years old, 3 months after third lipectomy: body weight 70 kg). The lesions on both shoulders, upper arms and back were reduced. Postoperative wounds were less remarkable.
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case_images: Although alcoholism did not improve, no obvious relapse has occurred postoperatively (Fig. 3).
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case_images: Postoperative physical examination (73 years old, 12 years after initial surgery: body weight 55 kg) There were no changes in size of the lesions themselves, but skin relaxation was remarkable.
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case_images: The lesions themselves have not changed in size, but skin relaxation was remarkable (Fig. 4).