1
|
Wang D, Yu H, Gao T, Lu H, Wang Y. Fibrolipoma of the lower lip: A case report and review of the literature. Medicine (Baltimore) 2024; 103:e38543. [PMID: 38905431 PMCID: PMC11192005 DOI: 10.1097/md.0000000000038543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Accepted: 05/21/2024] [Indexed: 06/23/2024] Open
Abstract
BACKGROUND Fibrolipoma of the lower lip is an uncommon condition with limited documentation in the literature. This paper provides updated insights into oral and maxillofacial lipomas through a detailed case report and comprehensive literature review, discussing clinical features, pathogenesis, diagnostic approaches, histopathology, and therapeutic strategies. CASE PRESENTATION A 54-year-old female presented with a painless, enlarging mass on the inner aspect of her right lower lip, first noticed 2 years prior. The mass, now the size of a peanut, interfered with her eating and speech. Physical examination revealed a 2.0 × 2.5 × 1.0 cm mass beneath the mucous membrane of the right lower lip. It was firm, well-demarcated, and mobile. Surgical excision was performed, and histopathological analysis confirmed the diagnosis of a lower lip fibrolipoma. The lesion was successfully removed without recurrence. CONCLUSION Lipomas in the oral and maxillofacial regions are rare, slow-growing benign tumors, particularly within the lips. Although their diagnosis is straightforward based on clinical presentation, histopathological confirmation is essential. Surgical resection remains the treatment of choice, with excellent prognostic outcomes.
Collapse
Affiliation(s)
- Dengshun Wang
- Department of Oral and Maxillofacial Surgery, Zhongshan Hospital Affiliated to Dalian University, Dalian, Liaoning Province, People’s Republic of China
- School of Stomatology, Dalian University, Dalian, Liaoning Province, People’s Republic of China
| | - Hongwei Yu
- School of Stomatology, Dalian University, Dalian, Liaoning Province, People’s Republic of China
| | - Tong Gao
- School of Stomatology, Dalian University, Dalian, Liaoning Province, People’s Republic of China
| | - Haibin Lu
- Department of Oral and Maxillofacial Surgery, Zhongshan Hospital Affiliated to Dalian University, Dalian, Liaoning Province, People’s Republic of China
| | - Yu’e Wang
- Department of Oral and Maxillofacial Surgery, Zhongshan Hospital Affiliated to Dalian University, Dalian, Liaoning Province, People’s Republic of China
| |
Collapse
|
2
|
Priya M, Doomra S, Angral S, Malhotra M, Varshney S, Gupta MK, Bhardwaj A. Head and Neck Lipomas at Uncommon Subsites: A Series of Four Cases. Indian J Otolaryngol Head Neck Surg 2022; 74:1845-1849. [PMID: 36452686 PMCID: PMC9702117 DOI: 10.1007/s12070-020-01866-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2020] [Accepted: 04/24/2020] [Indexed: 10/24/2022] Open
Abstract
Lipomas are benign soft tissue tumors; the most common ones present in subcutaneous planes distributed throughout the body. However, there are few sites which are unusual location for lipomas. Here, we discuss the presentation of 4 cases of head and neck lipomas at unusual subsites. Though its prevalence is high in the body, lipomas are rarely seen in upper aerodigestive tract and these lesions can cause severe deglutition and respiratory distress problems in addition to cosmetic deformities. In the head and neck, most common location of lipoma is the cheek, followed by the tongue. Tonsillar lipomas are very rare. The mainstay treatment for lipomas is complete surgical excision and recurrence following complete removal is rarely known. We are here discussing a series of 4 cases of lipomas, presenting at uncommon subsites in head and neck region. These include lesions over neck, tongue, palate and tonsillar fossa. Lipomas are benign mesenchymal tumors, that are initially non bothersome. However, with increasing size they can cause severe aerodigestive problems with functional compromise and need complete surgical excision.
Collapse
Affiliation(s)
- Madhu Priya
- Department of Otorhinolaryngology and Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand 249203 India
| | - Sofia Doomra
- Department of Otorhinolaryngology and Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand 249203 India
| | - Sumeet Angral
- Department of Otorhinolaryngology and Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand 249203 India
| | - Manu Malhotra
- Department of Otorhinolaryngology and Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand 249203 India
| | - Saurabh Varshney
- Department of Otorhinolaryngology and Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand 249203 India
| | - Manish Kumar Gupta
- Department of Paediatric Surgery, All India Institute of Medical Sciences, Rishikesh, 249203 India
| | - Abhishek Bhardwaj
- Department of Otorhinolaryngology and Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand 249203 India
| |
Collapse
|
3
|
Lipoma Rarely Involving Multiple Suprahyoid Fascial Spaces: A Large Lesion Removed With Bimanual Transcervical Finger Dissection Using a "Push-Pull Down" Maneuver. J Craniofac Surg 2019; 30:e717-e719. [PMID: 31261336 DOI: 10.1097/scs.0000000000005703] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Lipoma involving multiple fascial spaces is extremely rare and poses a challenge to surgeons using less invasive procedures. Although blunt dissection using a finger is often used in excisional surgeries as a supplementary maneuver, few cases have been described using the bimanual technique for the removal of these extensive lesions.Herein, the authors present a large lipoma of the oral floor extending to the unilateral submandibular and parapharyngeal spaces, which was excised only via a submandibular approach using the "push-pull down" maneuver, blunt finger dissection of the tumor with counter-pushing on the overlying mucosa to the submandibular direction facilitated tumor separation. The tumor was consequently pulled down and removed without an additional intraoral incision.Based on accurate preoperative examinations, this maneuver, provides a less invasive surgery for well-encapsulated benign tumors involving multiple fascial spaces.
Collapse
|
4
|
Otonari-Yamamoto M, Nakajima K, Sakamoto J, Imoto K, Watanabe M, Kotaki S, Kuroda M, Matsuzaka K, Shibahara T, D Curtin H, K Goto T. Atypical MRI and Histopathological Findings in Dermoid Cyst. THE BULLETIN OF TOKYO DENTAL COLLEGE 2019; 59:207-212. [PMID: 30224615 DOI: 10.2209/tdcpublication.2017-0044] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
On images, a dermoid cyst is often described as resembling a "sack of marbles" or "marbles in a bag". Typically, it comprises an inhomogeneity filled with multiple nodules in a fluid matrix on both computed tomography and magnetic resonance imaging (MRI). How it appears, however, will vary depending on its histological contents, which may cause confusion in arriving at a diagnosis. This report describes a dermoid cyst in the floor of the mouth of a 55 year-old woman that showed an atypical internal appearance on MRI. Most of the lesion showed homogeneous high signal intensity on T1 - and T2-weighted images, suggesting that it was derived from fat. A small area within the mass, however, showed moderate signal intensity almost equal to that of muscle on T1-weighted images and high signal intensity on fat-suppressed T2-weighted images. Given the location of the lesion, a dermoid cyst was one possible diagnosis. A lipoma or lipoma variants were also considered, however, based on signal intensity. Histopathological section of the excised specimen revealed a dermoid cyst with sebaceous glands in its walls and keratin in its cavity. Dermoid cysts show variation in their internal structures and contents. Since MRI can reflect such histological variation, signal intensity requires careful interpretation.
Collapse
Affiliation(s)
| | - Kei Nakajima
- Department of Clinical Pathophysiology, Tokyo Dental College
| | - Junichiro Sakamoto
- Department of Oral and Maxillofacial Radiology, Graduate School, Tokyo Medical and Dental University
| | - Kenichi Imoto
- Department of Oral and Maxillofacial Radiology, Tokyo Dental College
| | - Motoko Watanabe
- Department of Oral and Maxillofacial Radiology, Tokyo Dental College
| | - Shinya Kotaki
- Department of Oral and Maxillofacial Radiology, Tokyo Dental College
| | - Migiwa Kuroda
- Department of Oral and Maxillofacial Radiology, Tokyo Dental College
| | | | | | - Hugh D Curtin
- Department of Radiology, Massachusetts Eye and Ear Infirmary, Harvard Medical School
| | - Tazuko K Goto
- Department of Oral and Maxillofacial Radiology, Tokyo Dental College
| |
Collapse
|
5
|
Sharma G, Jain K, Nagpal A, Baiju CS. A rare presentation of lipoma on mandibular mucogingival junction. J Indian Soc Periodontol 2016; 20:199-202. [PMID: 27143835 PMCID: PMC4847469 DOI: 10.4103/0972-124x.170827] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
Lipoma is the most common tumor of mesenchymal tissues of body, but its occurrence in oral cavity is infrequent. Buccal mucosa is the most common intraoral site of lipoma followed by tongue, floor of the mouth, and buccal vestibule. The involvement of mucogingival junction is rare. We present a unique case report of oral lipoma occurring on mandibular mucogingival junction with review of literature which has emphasis on differential diagnosis.
Collapse
Affiliation(s)
- Gaurav Sharma
- Department of Oral Medicine and Radiology, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana, India
| | - Kanu Jain
- Department of Oral and Maxillofacial Pathology, Jaipur Dental College, Jaipur, Rajasthan, India
| | - Archna Nagpal
- Department of Oral Medicine and Radiology, P.D.M. Dental College, Bahadurgarh, Haryana, India
| | - Chandrababu Sudha Baiju
- Department of Periodontology, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana, India
| |
Collapse
|
6
|
Iaconetta G, Friscia M, Cecere A, Romano A, Orabona GD, Califano L. Rare fibrolipoma of the tongue: a case report. J Med Case Rep 2015; 9:177. [PMID: 26293242 PMCID: PMC4546142 DOI: 10.1186/s13256-015-0653-1] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2014] [Accepted: 07/13/2015] [Indexed: 12/11/2022] Open
Abstract
INTRODUCTION Lipoma is a benign tumor infrequent in the oral cavity, particularly in the tongue: indeed, lipomas only represent approximately 0.3% of all tongue neoplasia. Compared to conventional lipoma, fibrolipoma of the tongue is a very rare lesion that accounts for around 25-40% of tongue lipomas, and until now, to the best of our knowledge, only 14 cases have been described in which histological diagnosis of fibrolipoma was specifically confirmed. We report the case of a patient with a voluminous fibrolipoma of the tongue, treated by means of surgical excision. Fibrolipoma excision, like that described in this report, sometimes may be laborious, because fibrous bands appear to be focally infiltrating adjacent tissues, giving rise to some doubts about the nature of the lesion. CASE PRESENTATION We report the case of a voluminous fibrolipoma of the tongue in a 71-year-old Caucasian woman. CONCLUSIONS Because of its histological characteristics, abundance of connective and secondary changes/atrophy, fibrolipoma may appear as infiltrating adjacent tissues and may cause doubts of differential diagnosis with malignant infiltrating lesions. Surgical excision is the elective treatment. However, an accurate differential diagnosis, postsurgical histological examination and careful follow-up are required.
Collapse
Affiliation(s)
- Giorgio Iaconetta
- Department of Neurosurgery, University of Salerno, Via Giovanni Paolo II, 132, 84084, Fisciano, SA, Italy.
| | - Marco Friscia
- Department of Maxillofacial Surgery, University of Naples Federico II, Via Sergio Pansini, 5, 80133, Naples, Italy.
| | - Atirge Cecere
- Department of Maxillofacial Surgery, University of Naples Federico II, Via Sergio Pansini, 5, 80133, Naples, Italy.
| | - Antonio Romano
- Department of Maxillofacial Surgery, University of Naples Federico II, Via Sergio Pansini, 5, 80133, Naples, Italy.
| | | | - Luigi Califano
- Department of Maxillofacial Surgery, University of Naples Federico II, Via Sergio Pansini, 5, 80133, Naples, Italy.
| |
Collapse
|
7
|
McTighe S, Chernev I. Intramuscular lipoma: a review of the literature. Orthop Rev (Pavia) 2014; 6:5618. [PMID: 25568733 PMCID: PMC4274454 DOI: 10.4081/or.2014.5618] [Citation(s) in RCA: 58] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/28/2014] [Accepted: 10/04/2014] [Indexed: 02/07/2023] Open
Abstract
Lipomas are the most common type of soft tissue mesenchymal tumors. They are typically located subcutaneously and consist of mature fatty tissue. When they occur under the enclosing fascia, they are called deep-seated lipomas. Infrequently, lipomas can arise inside the muscle and are called intramuscular lipomas. Intramuscular lipomas have been commonly investigated and categorized in the same group as other deep-seated and superficial lipomatous lesions. Their clinical, histological and imaging characteristics may resemble well-differentiated liposarcomas, further adding to the difficulties in the differential diagnosis. This article summarizes the available literature and describes the typical epidemiological, pathological and clinical features of intramuscular lipomas, as well as delineating their treatment and prognosis.
Collapse
Affiliation(s)
- Shane McTighe
- West Virginia School of Osteopathic Medicine , Lewisburg, WV
| | - Ivan Chernev
- West Virginia School of Osteopathic Medicine , Lewisburg, WV ; Beckley Appalachian Regional Healthcare , Beckley, WV, USA
| |
Collapse
|
8
|
Naruse T, Yanamoto S, Yamada SI, Rokutanda S, Kawakita A, Takahashi H, Matsushita Y, Hayashida S, Imayama N, Morishita K, Yamashita K, Kawasaki G, Umeda M. Lipomas of the oral cavity: clinicopathological and immunohistochemical study of 24 cases and review of the literature. Indian J Otolaryngol Head Neck Surg 2014; 67:67-73. [PMID: 25621257 DOI: 10.1007/s12070-014-0765-8] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2014] [Accepted: 08/06/2014] [Indexed: 12/19/2022] Open
Abstract
Although lipomas are common soft tissue tumors, few cases of lipoma or its variants have been reported in the oral cavity. We here described the clinical, histological, and immunohistochemical features of 24 cases of oral lipoma obtained from medical records at Nagasaki University Hospital between 1977 and 2010, and also retrospectively reviewed 603 cases of oral lipoma reported in the English literatures. The patients examined comprised 11 men and 13 women with a mean age of 59 years, ranging from 31 to 90 years. The main sites involved were the buccal mucosa (n = 9), followed by the tongue (n = 4), lip and retromolar area (n = 3), floor of the mouth (n = 2), and gingiva (n = 1). The mean tumor size was 2.0 cm, ranging from 0.2 to 5 cm. Histological analysis revealed 20 cases of lipoma, 2 cases of fibrolipoma, and one case each of intramuscular lipoma and spindle cell lipoma. Twenty-three cases were treated surgically while one case underwent biopsy and follow-up. Recurrence was not observed in any case. We reviewed the English literatures, and similar results were obtained. In immunohistochemical analysis, PCNA and ki-67 expression indices were higher in intramuscular lipoma cases than in its variants. Especially, it showed that a long time follow-up may be necessary in ki-67 positive cases.
Collapse
Affiliation(s)
- Tomofumi Naruse
- Unit of Translational Medicines, Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8588 Japan
| | - Souichi Yanamoto
- Unit of Translational Medicines, Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8588 Japan
| | - Shin-Ichi Yamada
- Unit of Translational Medicines, Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8588 Japan
| | - Satoshi Rokutanda
- Unit of Translational Medicines, Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8588 Japan
| | - Akiko Kawakita
- Unit of Translational Medicines, Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8588 Japan
| | - Hidenori Takahashi
- Unit of Translational Medicines, Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8588 Japan
| | - Yuki Matsushita
- Unit of Translational Medicines, Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8588 Japan
| | - Saki Hayashida
- Unit of Translational Medicines, Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8588 Japan
| | - Naomi Imayama
- Unit of Translational Medicines, Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8588 Japan
| | - Kota Morishita
- Unit of Translational Medicines, Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8588 Japan
| | - Kentaro Yamashita
- Unit of Translational Medicines, Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8588 Japan
| | - Goro Kawasaki
- Unit of Translational Medicines, Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8588 Japan
| | - Masahiro Umeda
- Unit of Translational Medicines, Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8588 Japan
| |
Collapse
|
9
|
Abstract
Lipoma is a benign neoplasm of mature fat cells. Although a common mesenchymal neoplasm of trunk and extremities, its occurrence in the oral and oropharyngeal region is rather rare. Lipoma accounts for 1-5% of all benign oral tumors, occurring in patients above 40 years of age with slight male predilection. Oral lipoma presents as asymptomatic, slowly growing mass rarely exceeding 25 mm in diameter. Documented here is a rare case of a large size lipoma (>3 cm in diameter) occurring as an extraoral swelling in a girl aged 13 years, which was subsequently diagnosed and treated 4 years later. Furthermore discussed are the peculiarities in the clinical presentation, differential diagnosis, and investigations for this case.
Collapse
Affiliation(s)
- Deepak Daryani
- Departments of Oral Medicine and Radiology, KMCT Dental College, Kozhikode, Kerala, India
| | - R Gopakumar
- Departments of Oral Medicine and Radiology, New Horizon Dental College and Research Institute, Bilaspur, Chhattisgarh, India
| |
Collapse
|
10
|
Abstract
Lipoma is the commonest benign tumor occurring at any anatomical site, where fat is present. In oral cavity and oropharynx, it is a relatively uncommon neoplasm. Tongue, which is totally devoid of fat cell is also a site for lipoma but very rarely. We report one such rare case of the universal tumor, of 20 years of duration and 9 cm in size, presenting at the lateral margin, dorsal and ventral surface of the tongue, for which complete tumor excision was done.
Collapse
Affiliation(s)
- Sanjog Chandak
- Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Nagpur, Maharashtra, India
| | | | | | | |
Collapse
|
11
|
Lingual dermoid cyst with congenital discharging sinus: a rare entity. The Journal of Laryngology & Otology 2012; 127:211-4. [PMID: 23218227 DOI: 10.1017/s002221511200268x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE There have been few reports of lingual dermoid cysts with a congenital discharging fistula. We report such a case, which mimicked lipoma on computed tomography, and we discuss relevant clinical and radiological features. METHOD We present a case report and a review of the English language literature concerning lingual dermoid cysts either mimicking lipoma or with a congenital discharging sinus. RESULTS A 35-year-old man presented with a lingual mass associated with a congenital fistula in the midline of the tongue dorsum, which discharged abnormal secretions. Computed tomography images showed that the lesion was well defined and contained homogeneous fatty tissue giving computed tomography attenuation values of -120 Hounsfield units. CONCLUSION Lingual dermoid cysts may develop with a midline discharging fistula, and may exhibit radiological similarity to lipomas on computed tomography.
Collapse
|
12
|
Nader S, Nikakhlagh S, Rahim F, Fatehizade P. Endolaryngeal lipoma: case report and literature review. EAR, NOSE & THROAT JOURNAL 2012; 91:E18-21. [PMID: 22359140 DOI: 10.1177/014556131209100218] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Lipomas are the most common benign tumors affecting the soft tissues. They can occur at any age, but they typically appear in patients older than 40 years. They are found equally in men and women. Lipomas are uncommon in the head and neck, but when they do appear there, they can arise in any location, including the palate, tongue, tonsil, larynx, and parotid gland. We report the case of a 63-year-old man who presented to the emergency department with a large spindle-cell lipoma of the endolarynx. The patient was followed for 6 months, and he exhibited no snoring or breathing difficulties.
Collapse
Affiliation(s)
- Saki Nader
- Department of ENT, Imam Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | | | | | | |
Collapse
|
13
|
Large Unilateral Neck Mass in Submandibular Region. J Oral Maxillofac Surg 2012; 70:842-50. [DOI: 10.1016/j.joms.2011.02.126] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2010] [Revised: 01/06/2011] [Accepted: 02/12/2011] [Indexed: 01/16/2023]
|
14
|
Ikram R, Rehman Al-Eid AAA. Oral lipoma in elderly saudi patient: a case report. Int J Health Sci (Qassim) 2012; 6:97-103. [PMID: 23267309 PMCID: PMC3523787 DOI: 10.12816/0005978] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
Lipomas are relatively uncommon benign tumor occurring in the oral cavity with a prevalence rate of 1% to 4% of all oral lesions. They present as a slow growing, painless, asymptomatic submucosal mass and surgical excision is the treatment of choice. Oral lipomas have been known to grow to large sizes causing interference with speech, mastication and construction of denture. A case of 77 years old male patient with lipoma of buccal mucosa in oral cavity which exhibited a sudden growth after a lag time of 3 years with mastication and speech difficulties. The tumor excised in total with restoration of normal speech and mastication.
Collapse
Affiliation(s)
- Rashad Ikram
- Consultant Oral&Maxillo-facial Surgeon. Buraidah Central Hospital, Al-Qassim, KSA. E-Mail: Mobile: +966551866583
| | - Abdul Aziz Abdul Rehman Al-Eid
- Saudi Board (Cons).C- Implants, B.D.S. Consultant/Medical Director Dental, Buraidah Central, Hospital, Al-Qassim, KSA. E-Mail: Mobile: +966555144960
| |
Collapse
|
15
|
Manor E, Sion-Vardy N, Joshua BZ, Bodner L. Oral lipoma: analysis of 58 new cases and review of the literature. Ann Diagn Pathol 2011; 15:257-61. [PMID: 21447447 DOI: 10.1016/j.anndiagpath.2011.01.003] [Citation(s) in RCA: 75] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2011] [Accepted: 01/19/2011] [Indexed: 11/17/2022]
Abstract
Lipomas are common soft-tissue tumors but occur infrequently in the oral region. Here, we present 58 new cases of oral lipoma (OL), their clinical features, diagnostic workup, and management. The records of 58 patients with OL were reviewed. Demographic data, presenting symptoms, primary tumor site, histopathology, and clinical management were analyzed. Extraoral and intraosseous lesions were excluded. The patients were 29 men and 29 women with mean age of 59.7 years, range, 11 to 98 years. Tumor sites included the buccal mucosa (n = 31), tongue (n = 10), lip (n = 6), floor of the mouth (n = 6), and vestibule (n = 5). The mean tumor size was 2.1 cm (range, 0.3-5.0 cm). The mean tumor duration before excision was 2.6 years (31.2 months), ranging from 2 months to 12 years. Most common presenting symptom was an asymptomatic, circumscribed mass. Histologically, the tumors were classified as classic lipoma (n = 28), fibrolipoma (n = 19), intramuscular lipoma (n = 4), minor salivary gland lipoma (n = 2), angiolipoma (n = 2), and spindle cell lipoma (n = 3). A case of spindle cell lipoma affecting the lower lip that has not been described previously is presented. The provided treatment was surgical excision. Although uncommon, OL are most common in adults and very uncommon in children. No sex predilection was found. The buccal mucosa region is the most common site followed by the tongue. Classic lipomas are most common in the oral region and comprise 48% of the tumors. A case of spindle cell lipoma of the lower lip is reported. Its clinical, histologic, and cytogenetic workup is the first well-documented case. Further cytogenetic studies should be undertaken to learn more about the pathogenesis and tumorigenesis of OL.
Collapse
Affiliation(s)
- Esther Manor
- Institute of Human Genetics, Soroka University Medical Center, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel
| | | | | | | |
Collapse
|
16
|
Manjunatha B, Pateel GD, Shah V. Oral fibrolipoma-a rare histological entity: report of 3 cases and review of literature. JOURNAL OF DENTISTRY (TEHRAN, IRAN) 2010; 7:226-31. [PMID: 21998799 PMCID: PMC3184759] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/15/2010] [Accepted: 10/20/2010] [Indexed: 11/22/2022]
Abstract
Lipomas are rare benign soft tissue mesenchymal neoplasms in the oral cavity, representing 1% of all benign oral tumors. Fibrolipoma (FL), an uncommon, histological variant of the classic lipoma, mostly affects the buccal mucosa. Very few cases of FL have been reported in the English literature. To the best of our knowledge a review of the English literature showed 33 cases of FL affecting the oral cavity.The diagnosis and differentiation of FL with clinically similar lesions such as fibroma, mucocele and pleomorphic adenoma are very essential for a correct treatment plan and complete follow-up. Due to the rarity of oral cavity fibrolipoma reports, three cases and a review of literature is presented here.
Collapse
Affiliation(s)
- B.S. Manjunatha
- Associate Professor, Deptment of Oral Pathology and Microbiology, Sumandeep Vidyapeeth, K M Shah Dental College and Hospital, Pipariya,Vadodara, Gujarat State, India
| | - G.S. Deepak Pateel
- Senior lecturer, Department of Oral Pathology and Microbiology, Sumandeep Vidyapeeth, K M Shah Dental College and Hospital, Pipariya,Vadodara, Gujarat State, India
| | - V. Shah
- Professor, Department of Oral Pathology and Microbiology, Sumandeep Vidyapeeth, K M Shah Dental College and Hospital, Pipariya,Vadodara, Gujarat State, India
| |
Collapse
|
17
|
Foster GD, Wyatt HR, Hill JO, Makris AP, Rosenbaum DL, Brill C, Stein RI, Mohammed BS, Miller B, Rader DJ, Zemel B, Wadden TA, Tenhave T, Newcomb CW, Klein S. Weight and metabolic outcomes after 2 years on a low-carbohydrate versus low-fat diet: a randomized trial. Ann Intern Med 2010; 153:147-57. [PMID: 20679559 PMCID: PMC2949959 DOI: 10.7326/0003-4819-153-3-201008030-00005] [Citation(s) in RCA: 356] [Impact Index Per Article: 25.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Previous studies comparing low-carbohydrate and low-fat diets have not included a comprehensive behavioral treatment, resulting in suboptimal weight loss. OBJECTIVE To evaluate the effects of 2-year treatment with a low-carbohydrate or low-fat diet, each of which was combined with a comprehensive lifestyle modification program. DESIGN Randomized parallel-group trial. (ClinicalTrials.gov registration number: NCT00143936) SETTING 3 academic medical centers. PATIENTS 307 participants with a mean age of 45.5 years (SD, 9.7 years) and mean body mass index of 36.1 kg/m(2) (SD, 3.5 kg/m(2)). INTERVENTION A low-carbohydrate diet, which consisted of limited carbohydrate intake (20 g/d for 3 months) in the form of low-glycemic index vegetables with unrestricted consumption of fat and protein. After 3 months, participants in the low-carbohydrate diet group increased their carbohydrate intake (5 g/d per wk) until a stable and desired weight was achieved. A low-fat diet consisted of limited energy intake (1200 to 1800 kcal/d; <or=30% calories from fat). Both diets were combined with comprehensive behavioral treatment. MEASUREMENTS Weight at 2 years was the primary outcome. Secondary measures included weight at 3, 6, and 12 months and serum lipid concentrations, blood pressure, urinary ketones, symptoms, bone mineral density, and body composition throughout the study. RESULTS Weight loss was approximately 11 kg (11%) at 1 year and 7 kg (7%) at 2 years. There were no differences in weight, body composition, or bone mineral density between the groups at any time point. During the first 6 months, the low-carbohydrate diet group had greater reductions in diastolic blood pressure, triglyceride levels, and very-low-density lipoprotein cholesterol levels, lesser reductions in low-density lipoprotein cholesterol levels, and more adverse symptoms than did the low-fat diet group. The low-carbohydrate diet group had greater increases in high-density lipoprotein cholesterol levels at all time points, approximating a 23% increase at 2 years. LIMITATION Intensive behavioral treatment was provided, patients with dyslipidemia and diabetes were excluded, and attrition at 2 years was high. CONCLUSION Successful weight loss can be achieved with either a low-fat or low-carbohydrate diet when coupled with behavioral treatment. A low-carbohydrate diet is associated with favorable changes in cardiovascular disease risk factors at 2 years. PRIMARY FUNDING SOURCE National Institutes of Health.
Collapse
Affiliation(s)
- Gary D Foster
- Center for Obesity Research and Education, Temple University, Philadelphia, Pennsylvania 19140, USA.
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
18
|
Abstract
We herein report a rare case of giant intramuscular lipoma of the tongue. A 75-year-old Italian male presented at our department with a large tumor at the tip of the tongue that had been present for over 30 years. Clinical examination revealed a yellowish lesion, measuring 10 cm in maximum diameter, protruding from lingual surface. Histological examination showed an unencapsulated lipomatous tumor composed of mature adipocytes, uniform in size and shape, diffusely infiltrating striated muscle fibers of the tongue. The patient is well with no local recurrence after a 15-month follow-up period.
Collapse
|
19
|
Giant intramuscular lipoma of the tongue: a case report and literature review. CASES JOURNAL 2009; 2:7906. [PMID: 19830025 DOI: 10.4076/1757-1627-2-7906] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/21/2009] [Accepted: 06/15/2009] [Indexed: 11/08/2022]
Abstract
We herein report a rare case of giant intramuscular lipoma of the tongue. A 75-year-old Italian male presented at our department with a large tumor at the tip of the tongue that had been present for over 30 years. Clinical examination revealed a yellowish lesion, measuring 10 cm in maximum diameter, protruding from lingual surface. Histological examination showed an unencapsulated lipomatous tumor composed of mature adipocytes, uniform in size and shape, diffusely infiltrating striated muscle fibers of the tongue. The patient is well with no local recurrence after a 15-month follow-up period.
Collapse
|
20
|
Mitchell JE, Thorne SJ, Hern JD. Acute stridor caused by a previously asymptomatic large oropharyngeal spindle cell lipoma. Auris Nasus Larynx 2007; 34:549-52. [PMID: 17433592 DOI: 10.1016/j.anl.2007.02.001] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2006] [Revised: 02/08/2007] [Accepted: 02/09/2007] [Indexed: 02/06/2023]
Abstract
Lipomas of the larynx, oropharynx and hypopharynx are rare, accounting for approximately 1% of benign laryngeal neoplasms. Spindle cell lipoma is a rarer histological variant characterised by mature adipocytes mixed with collagen-forming spindle cells. We present an unusual case of a 62-year-old lady who acutely presented to the emergency department with a large spindle cell lipoma arising from the vallecula. This lipoma was causing intermittent stridor unless traction was applied to it. Despite the size of the lesion, she had been completely asymptomatic prior to this single episode. To our knowledge, only one previous case of a spindle cell lipoma has been reported as specifically arising from the vallecula. This case also appears to be the largest reported from the oropharynx (17 cm length, 4 cm width). The tumour was completely removed endoscopically and the patient made an excellent recovery, returning home 3 days post-operatively. The histology, management and follow up of these lipomas are discussed.
Collapse
Affiliation(s)
- James E Mitchell
- Department of Ear, Nose and Throat Surgery, Frimley Park Hospital, Surrey GU16 7UJ, UK.
| | | | | |
Collapse
|
21
|
Furlong MA, Fanburg-Smith JC, Childers ELB. Lipoma of the oral and maxillofacial region: Site and subclassification of 125 cases. ACTA ACUST UNITED AC 2004; 98:441-50. [PMID: 15472660 DOI: 10.1016/j.tripleo.2004.02.071] [Citation(s) in RCA: 227] [Impact Index Per Article: 11.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
OBJECTIVE Lipomas and lipoma variants are common soft tissue tumors, but occur infrequently in the oral and maxillofacial region. In this study, we reviewed 125 lipomas in specific oral and maxillofacial locations. We wanted to examine and compare the clinicopathologic features of these tumors. Study design The records from the Oral and Maxillofacial Pathology Registry of the Armed Forces Institute of Pathology from 1970 to the present were searched for cases coded as "lipoma." This study included 125 cases based on location within the oral and maxillofacial region, benign histology, and available clinical information. Subcutaneous and intraosseous lipomas were excluded. The tumors were classified according to the most recent World Heath Organization classification for soft tissue tumors. RESULTS Of 125 lipomas, 91 tumors occurred in males, 33 in female patients, and 1 of unknown gender. The mean age was 51.9 years, range 9-92 years. Four tumors occurred in pediatric patients (age <18 years). Specific anatomic sites within the oral and maxillofacial region included the parotid region (n=30); buccal mucosa (n=29); lip (n=21); submandibular region (n=17); tongue (n=15); palate (n=6); floor of mouth (n=5); and vestibule (n=2). The mean size of tumors was 2.2 centimeters, range 0.5 to 8.0 centimeters. The mean duration of the tumors prior to excision was 3.2 years, range 6 weeks to 15 years. Most patients presented with an asymptomatic, circumscribed mass. Grossly, most tumors were described as pink and smooth, occasionally mucoid. Histologically, the tumors were subclassified as classic lipomas (n=62); spindle cell/pleomorphic lipomas (n=59); fibrolipoma (n=2), and chondroid lipoma (n=2). Fourteen tumors exhibited secondary changes, such as fat necrosis, atrophy, and prominent hyalinization; 23 tumors were histologically confirmed to be intramuscular. CONCLUSIONS Lipomas of the oral and maxillofacial region occur most commonly in adult males in the parotid region, followed closely by the buccal mucosa. These tumors are uncommon in children. Interestingly, spindle cell lipomas are common in this region and comprise the majority of our parotid and lip tumors. Angiolipomas were absent in this anatomic region in this study. Secondary changes and atrophy should not be confused with the malignant histologic features of a liposarcoma.
Collapse
Affiliation(s)
- Mary A Furlong
- Department of Pathology, Georgetown University, Washington, DC, USA
| | | | | |
Collapse
|