Purpose: The aim of this review is to present the different lipomatous tumours of the face typically found in infants. Lipomatous tumours induce a diagnostic challenge due to the low frequency, and the fact that the different lipomatous tumours mimic each other.
Method: This study developed a flowchart for use in the evaluation of these tumours, including congenital infiltrating lipomatosis of the face, lipoblastomas, and liposarcomas.
Results and conclusions: The clinical presentation, histological features, imaging characteristics and treatment options are covered. It is suggested that a careful clinical examination is followed by magnetic resonance imaging. A histological analysis is often necessary to establish a definitive diagnosis, and a core needle biopsy is preferred in regards to sampling. Surgery is the treatment of choice, and should be performed by multidisciplinary teams in highly experienced centres. Individual surgical planning is mandatory.
Keywords: Congenital infiltrating lipomatosis of the face; infants; lipoblastoma; liposarcoma.