SVOA Paediatrics

Guljabin Sultana¹, Mohammad Nafees Ahamad^2*

¹Senior Clinical Fellow, Obstetrics and Gynaecology, Bedfordshire Hospitals NHS Foundation Trust, UK. ORCID: 0009-0004-7514-0806

²Specialist General Surgery, NMC Medical Centre, Safari Mall, Sharjah, UAE. ORCID: 0000-0002-5240-0546

*Corresponding Author: Mohammad Nafees Ahamad, Specialist General Surgery, NMC Medical Centre, Safari Mall, Sharjah, UAE. ORCID: 0000 0002-5240-0546 https://doi.org/10.58624/SVOAPD.2026.05.020

Received: June 06, 2026

Published: July 02, 2026

Citation: Sultana G, Ahamad MN. Pedunculated Lipofibroma in a Pediatric Patient: A Rare Case Report. SVOA Paediatrics 2026, 5:4, 136-139. doi: 10.58624/SVOAPD.2026.05.020

Abstract

Background: Pedunculated lipofibroma (PLF) is a rare, benign, solitary clinical variant of nevus lipomatosus cutaneous superficialis (NLCS). It is histologically distinguished by the ectopic presence of mature adipose tissue within the dermal compartment. While solitary variants typically manifest during or after the third decade of life and demonstrate a predilection for pressure-prone or non-pelvic sites, presentation in the pediatric age group is exceedingly rare.

Case Presentation: A 9-year-old girl presented with a large, solitary, painless, cerebriform pedunculated mass over the central aspect of her right arm that had been growing continuously since early childhood. Histopathological evaluation of the completely excised mass revealed scattered lobules of mature adipocytes interspersed within dense fibrocollagenous dermal tissue, confirming a diagnosis of pedunculated lipofibroma.

Conclusion: This case highlights an atypical presentation of solitary NLCS/PLF due to its giant size, distinct anatomical location on the upper extremity, and manifestation during early childhood. Surgical excision remains the definitive, simple treatment providing excellent cosmetic and therapeutic outcomes.

Keywords: Forearm, Pedunculated, Solitary, Lipofibroma, Nevus lipomatosus cutaneous superficialis.