Introduction: Adipocytic tumors and its variants are common neoplasms of adults; however, they are rarely seen in paediatric age group, too. Lipoblastoma typically occurs in children and are diagnosed by the presence of a multivacuolated lipoblast. However, things get complicated when one has to search for these lipoblasts in a background of classical lipoma. As a result, such cases are misdiagnosed and managed inappropriately. We report the first case of a congenital lipoma like lipoblastoma with an unusual presentation. Case Presentation: A 10-day-old male was admitted to the Paediatric Surgery Outpatient Department with a mass in his perianal region since birth. On examination, the mass was nontender, pedunculated, and located at the margin of the anal opening. A provisional clinical diagnosis of anal tag was made, and swelling was excised. Grossly, we received a skin covered soft tissue mass measuring 1. 2cm in diameter. The cut section was yellow and had a soft to firm consistency. Histopathological examination showed a well-delineated moderately cellular lesion comprising of lobules of adipocytes in varying stages of maturation; large number of mature adipocytes and few interspersed multivacuolated lipoblasts. A final diagnosis of lipomalike lipoblastoma was made. Conclusion: Lipoma-like lipoblastoma can be seen as a congenital mass and at unusual sites like the perianal region. An accurate diagnosis of this entity is essential for appropriate management. Histopathology is the gold standard for diagnosis and calls for increased awareness.

Primary tracheal tumors are very rare and 10%– 20% are benign tumors. Tracheal lipoma is extremely rare and only a few cases have been reported in the literature. A 69-year-old male patient presented to the emergency department with complaints of shortness of breath, respiratory distress, chest pain and cough. Chest CT scan showed a round mass in the topography of the trachea that almost caused airway obstruction. The lesion was resected endoscopically and the pedicle base was cauterized. Tracheal lipoma is a rare condition that should lie in the differential diagnosis of treatment-resistant asthma.

Lipoma is a benign tumor of well-differentiated adipocytes that has been reported in some domestic animals. Omental lipomas in human and domestic animals are rare and reported as a case report. This study aimed to report an omental lipoma in a slaughtered sheep. In the observational examination of a sheep in a slaughterhouse in Tehran Province, Iran, and during the inspection of the abdominal area, a mass was seen on the greater omentum. The mass was sampled and placed in 10% formalin for histopathology. The mass was single, soft, dense, capsuled, oval, weighing 150 g, and 4.5×3.5 cm in size. Microscopic examination showed omental mass composed of uniform and mature lipocytes encased within a thick layer of immature connective tissue. The final diagnosis was primary benign lipoma. Lipoma can occur anywhere in the body where there are fat cells, and probably obesity and trauma are important risk factors for its occurrence. The size of the lipoma mass may help predict the age of the mass.

Lipoma, a benign tumor of adipose tissue is one of the most common benign neoplasms of the body.However, its occurrence in oral cavity is very rare. It accounts for 1 to 4% of benign neoplasms of mouth affecting predominantly the buccal mucosa, floor of mouth and tongue. We report three cases of intraoral lipoma, two in buccal mucosa and one in labial mucosa. An excisional biopsy was performed and histopathological examination revealed proliferation of mature adipocytes arranged in lobules and separated by fibrous septa. After 3 years follow up, the patients showed no signs of recurrence.