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Table 1 Summary table of hibernomas

From: Hibernoma – two patients with a rare lipoid soft-tissue tumour

Aetiology

Unclear, deletion respectively reciprocal translocation of chromosome 11

Incidence

Approximately 1.6% of all benign lipomatous tumours

Gender distribution

Slight male predominance

Average age

3rd to 4th decade of life

Risk factors

Not known

Therapy

Complete excision of symptomatic hibernoma or unclear diagnosis

Prognosis

Benign tumour without malignant transformation or metastatic spread

No recurrence after complete excision, possible recurrence in cases of incomplete excision

Imaging characteristics

Well-defined, richly vascularized soft tissue tumour with a density between subcutaneous fat and skeletal muscle in CT, respectively slightly hypointense to subcutaneous fat in T1w and T2w MR images, hyperintense in TIRM, heterogenous to homogenous enhancement, high 18 F-FDG uptake and change of FDG avidity in follow-up