Large Lump on the Back: An Unusual Case of Giant Intermuscular Lipoma in Scapula Region

We are presenting a case of giant lipoma measuring more than 10 cm in length and patient had history of painless swelling on upper back which had a progressive increase in size over a period of 2 years and it was very unusual that most of the giant lipomas at this site usually involve nerve plexus leading to tingling and pain in the ipsilateral upper limb, however in our case patient had no history of pain. Sometimes lipoma can be seen located deeply instead of subcutaneous location which is its usual site. Deep seated lipoma can be seen mostly in limb or in trunk region. It can grow in between muscles (intermuscular type) or growing within muscle (intramuscular type) also known as infiltrating lipoma.