Giant Cervical Lipomas: Case Series and Literature Review

Background: Giant lipomas of the neck are rare, slow-growing benign tumours of adipose tissue that may pose significant diagnostic and therapeutic challenges. Their large size may result in cosmetic deformities or compression of adjacent vital cervical structures, making early diagnosis and appropriate surgical management essential. Objective: This study aims to describe the clinical, radiological, and surgical features of giant cervical lipomas based on a case series, and to provide a brief review of the relevant literature. Methods: We retrospectively analysed six cases of giant cervical lipomas managed in the ENT Department of the Regional University Hospital of Ouahigouya. Data collected included demographic characteristics, clinical presentation, tumour dimensions, radiological findings, surgical techniques, and outcomes. Results: The patients, aged between 11 and 50 years, presented with slow-growing, painless cervical masses, with the largest tumour measuring 194 mm in its greatest diameter. The lipomas were predominantly located in the posterior cervical triangle. CT suggested a benign appearance of the tumours and provided detailed information about their extent and relationship to surrounding structures. All patients underwent complete surgical excision under general anaesthesia. No perioperative complications or recurrences were observed during the follow-up period. Conclusion: Giant cervical lipomas, though rare, should be considered in the differential diagnosis of large cervical swellings. Detailed clinical and radiological evaluation followed by meticulous surgical excision can ensure favourable outcomes. This case series emphasises the importance of early intervention and the role of multidisciplinary collaboration in management.