Hibernoma in the clavicular fossa: A case report and literature review

A hibernoma is a benign soft tissue tumor consisting of brown adipose tissue. The tumors are mostly located in the thigh, back, and shoulder region. They are rarely found in the supraclavicular fossa. We report a 39-year-old woman who presented with a painless, slow-growing mass on the left supraclavicular fossa for nearly 15 years. Magnetic resonance imaging (MRI) showed an inhomogeneous round mass with a slightly hyperintense signal on fat-suppression T2-weighted imaging that compressed the adjacent tissues and subclavian vessels. Computed tomography angiography indicated a rich blood flow signal. Postoperative histology confirmed the diagnosis of a hibernating tumor. Although comprehensive imaging is important in the determination of tumor for the size, location, and nature, computed tomography angiography provides clear indication of the vascularity of the tumor, which provides vital clinicopathologic data for surgeons.