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Maglitto F, Norino G, Arena A, Friscia M, Barone S, Committeri U, Califano L. A giant intramuscular lipoma of tongue: A case report and literature review. ORAL AND MAXILLOFACIAL SURGERY CASES 2023. [DOI: 10.1016/j.omsc.2022.100287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
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Shathur A, Rashid A, Patel V, Ffolkes L, Jayaram R. A Large Lipoma of the Tongue: A case report. Prim Dent J 2022; 11:51-54. [PMID: 37705171 DOI: 10.1177/20501684221101093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/15/2023]
Abstract
This report discusses a rare case of a 75-year-old male presenting with a large lipoma of the tongue. It examines the investigations carried out to aid in diagnosing the lesion and the management options. Since oral lipomas rarely cause symptoms, there tends to be a general delay in seeking treatment. This case report aims to help dental practitioners diagnose intra-oral soft tissue lesions and provide appropriate management for their patients.
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Affiliation(s)
- Adam Shathur
- Oral and Maxillofacial Department, St. George's Hospital London, London, UK
| | - Arif Rashid
- Oral and Maxillofacial Department, St. George's Hospital London, London, UK
| | - Vishal Patel
- Oral and Maxillofacial Department, St. George's Hospital London, London, UK
| | - Lorrette Ffolkes
- Cellular Pathology Department, St. George's Hospital London, London, UK
| | - Rahul Jayaram
- Oral and Maxillofacial Department, St. George's Hospital London, London, UK
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Yoon YA, Kwon YE, Choi SY, Choi KS, An CH, An SY. Giant lipoma of the tongue: A case report and review of the literature. Imaging Sci Dent 2022; 52:117-121. [PMID: 35387100 PMCID: PMC8967501 DOI: 10.5624/isd.20210140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2021] [Revised: 09/15/2021] [Accepted: 09/23/2021] [Indexed: 11/26/2022] Open
Abstract
This report presents the case of a 49-year-old man who presented with giant masses that had recently grown on the bilateral sides of the tongue. A clinical examination revealed rubbery yellowish lesions protruding from the tongue. A panoramic radiograph showed an enlarged soft tissue shadow of the tongue. Computed tomography showed well-defined circumscribed mass exhibiting a homogeneous low density on the bilateral sides of the tongue. On magnetic resonance images, the masses showed a high signal intensity on T1-weighted images and iso-signal intensity with partially hyperintense margin on fat-suppressed T2-weighted images. Surgical excision was performed, and a histopathologic examination confirmed the diagnosis of lipoma. The patient recovered well with no sign of recurrence. A giant lipoma is defined as a lipoma larger than 5 cm in diameter. A literature review of giant lipomas of the tongue is also presented herein.
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Affiliation(s)
- Yeong-Ah Yoon
- Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyungpook National University, Daegu, Korea
| | - Young-Eun Kwon
- Doctor of Dental Clinic, 7 Promise Dental Clinic, Daegu, Korea
| | - So-Young Choi
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University, Daegu, Korea
| | - Karp-Shik Choi
- Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyungpook National University, Daegu, Korea
| | - Chang-Hyeon An
- Department of Oral and Maxillofacial Radiology, School of Dentistry, IHBR, Kyungpook National University, Daegu, Korea
| | - Seo-Young An
- Department of Oral and Maxillofacial Radiology, School of Dentistry, IHBR, Kyungpook National University, Daegu, Korea
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Hur SH, Lim JS, Choi SG, Kang JY, Jung JH, Lee EY. Treatment of intramuscular lipoma of tongue with enveloped mucosal flap design: a case report and review of the literature. Maxillofac Plast Reconstr Surg 2020; 42:38. [PMID: 33296044 PMCID: PMC7683753 DOI: 10.1186/s40902-020-00281-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2020] [Accepted: 10/13/2020] [Indexed: 11/26/2022] Open
Abstract
Background Lipomas are benign soft tissue neoplasms of mature adipose tissue commonly occurring in the trunk or extremities. But, intraoral lipomas are rare entities which may be only noticed during routine dental examinations. Especially intramuscular lipomas on the tongue have been reported very rarely. In this study, we report a case of intramuscular lipoma on tongue, with a review of the literature from 1978 to 2019, providing data on age, gender, location, presenting symptoms, size, surgical methods, and recurrence. Case presentation A case of intramuscular lipoma occurring in tongue region in a 65-year-old male is reported. Surgical excision is the mainstay of treatment for the lesion. In order to decrease the deformity and discomfort after the excision, we tried to modify surgical technique using enveloped mucosal flap. This technique provided more comfortable healing procedure on the operative site without recurrence. Conclusion This is a rare case of large intramuscular lipoma on tongue. Surgical excision with enveloped mucosal flap design was performed to diminish postoperative raw surface and discomfort and a 24-month follow-up showed excellent healing without any recurrence. A case of intramuscular lipoma on tongue and relevant literature reviews are presented in this study.
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Affiliation(s)
- Sung-Hwi Hur
- Department of Oral & Maxillofacial Surgery, Hankook General Hospital, Cheongju, Korea
| | - Jae-Seok Lim
- Department of Oral & Maxillofacial Surgery, Chungbuk National University Hospital, Chungdae-ro 1, Seowon-Gu, Cheongju, Chungbuk, 28644, Korea
| | - Sun-Gyu Choi
- Department of Oral & Maxillofacial Surgery, Hankook General Hospital, Cheongju, Korea
| | - Ji-Yeon Kang
- Department of Oral & Maxillofacial Surgery, College of Medicine, Chungnam National University, Daejeon, Korea
| | - Ji-Hye Jung
- Department of Oral & Maxillofacial Surgery, Hankook General Hospital, Cheongju, Korea
| | - Eun-Young Lee
- Department of Oral & Maxillofacial Surgery, Chungbuk National University Hospital, Chungdae-ro 1, Seowon-Gu, Cheongju, Chungbuk, 28644, Korea. .,Department of Oral & Maxillofacial Surgery, College of Medicine and Medical Research Institute Chungbuk, National University, Chungdae-ro 1, Seowon-Gu, Cheongju, Chungbuk, 28644, Korea.
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Fitzgerald K, Sanchirico PJ, Pfeiffer DC. Large intramuscular lipoma of the tongue. Radiol Case Rep 2018; 13:361-364. [PMID: 29904473 PMCID: PMC6000082 DOI: 10.1016/j.radcr.2018.01.014] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2017] [Accepted: 01/04/2018] [Indexed: 02/07/2023] Open
Abstract
We describe a case of a 57-year-old man referred to an oral maxillofacial surgeon for a nontender, large intramuscular tongue mass. A computed tomography scan with contrast showed a homogenous right tongue intramuscular fatty mass measuring 3.8 cm × 2.8 cm in the axial dimension and 2.2 cm in the craniocaudal dimension. Histologic examination revealed multiple lobulated sections of mature adipocytes and occasional entrapped skeletal muscle fibers. The final pathologic diagnosis was intramuscular lipoma. Although lipomas account for approximately 50% of all soft tissue neoplasms, intramuscular (infiltrating) lipoma of the tongue is exceedingly rare.
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Affiliation(s)
- Kara Fitzgerald
- WWAMI Medical Education Program, University of Washington School of Medicine, 1959 NE Pacific St, Seattle, WA 98195, USA
| | | | - David C. Pfeiffer
- WWAMI Medical Education Program and Department of Biological Sciences, University of Idaho, 875 Perimeter Dr, Moscow, ID 83844-3051, USA
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Béogo R, Coulibaly TA, Traoré I, Konségré V, Kohoun HM. Tongue Lipoma: Report of 2 Cases and Review of Literature. ACTA ACUST UNITED AC 2018. [DOI: 10.4236/ojst.2018.88025] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Kogure K, Yamazaki M, Tamaki T, Node Y, Morita A. Neck and Occipital Pain Caused by Deep Cervical Intramuscular Lipoma: A Surgical Case. J NIPPON MED SCH 2017; 84:96-99. [PMID: 28502967 DOI: 10.1272/jnms.84.96] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
A lipoma is a slow-growing, benign tumor and is usually asymptomatic; hence, surgical intervention can often be avoided in patients with these tumors in the cervical and cranial area. Lipomas arise most commonly in the subcutaneous fat, but occasionally in muscle tissue. Intramuscular lipomas in the cervico-cranial area have rarely been reported. We describe here a patient with a large intramuscular lipoma in the deep cervical tissue. The patient experienced troublesome pain in the neck and occipital area, and surgical treatment was therefore suggested. Particularly in the cervical area, intramuscular lipomas sometimes invade the surrounding muscles and tissue layers and develop into an irregular mass, despite being benign. In addition, the cervical area has one of the most complex muscle structures. Nevertheless, surgical management of intramuscular lipoma in the cervical and cranial area is sometimes indicated, for example, in patients with clinical symptoms or masses with a tendency to grow large.
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Affiliation(s)
- Kazunari Kogure
- Department of Neurological Surgery, Nippon Medical School Tama Nagayama Hospital
| | - Michio Yamazaki
- Department of Neurological Surgery, Nippon Medical School Tama Nagayama Hospital
| | - Tomonori Tamaki
- Department of Neurological Surgery, Nippon Medical School Tama Nagayama Hospital
| | - Yoji Node
- Department of Neurological Surgery, Nippon Medical School Tama Nagayama Hospital
| | - Akio Morita
- Department of Neurological Surgery, Nippon Medical School
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Ponce JB, Ferreira GZ, Santos PSDS, Lara VS. Giant oral lipoma: a rare entity. An Bras Dermatol 2017; 91:84-86. [PMID: 28300904 PMCID: PMC5325003 DOI: 10.1590/abd1806-4841.20165008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2015] [Accepted: 10/11/2015] [Indexed: 11/22/2022] Open
Abstract
Lipomas are very common benign slow-growing soft tissue neoplasms composed of
mature adipose tissue mostly diagnosed in the fifth decade of life. These tumors
rarely present in the oral cavity, representing less than approximately 5% of
all benign mouth tumors. They are usually less than 2cm in size and etiology
remains unclear. We report a young male patient presenting with a giant lipoma
in the buccal mucosa. Histopathology revealed a large area of mature fat cells
consistent with conventional lipoma and an area of the mucosal lining of the
lesion suggestive of morsicatio buccarum. In the present
article, we emphasize the clinicopathological features and differential
diagnosis of the disease.
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Affiliation(s)
- José Burgos Ponce
- Bauru Dental School - University of São Paulo (USP) - Bauru (SP), Brazil
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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.
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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.
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Damghani MA, Safari M. Huge tongue lipoma: a case report. IRANIAN JOURNAL OF OTORHINOLARYNGOLOGY 2015; 27:165-9. [PMID: 25938089 PMCID: PMC4409962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/08/2014] [Accepted: 05/22/2014] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Lipomas are among the most common tumors of the human body. However, they are uncommon in the oral cavity and are observed as slow growing, painless, and asymptomatic yellowish submucosal masses. Surgical excision is the treatment of choice and recurrence is not expected. CASE REPORT The case of a 30-year-old woman with a huge lipoma on the tip of her tongue since 3 years, is presented. She had difficulty with speech and mastication because the tongue tumor was filling the oral cavity. Clinical examination revealed a yellowish lesion, measuring 8 cm in maximum diameter, protruding from the lingual surface. The tumor was surgically excised with restoration of normal tongue function and histopathological examination of the tumor confirmed that it was a lipoma. CONCLUSION Tongue lipoma is rarely seen and can be a cause of macroglossia. Surgical excision for lipoma is indicated for symptomatic relief and exclusion of associated malignancy.
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Affiliation(s)
- Mohammad Ali Damghani
- Department of Otorhinolaryngology, Kerman University of Medical Sciences and Health Services, Kerman, Iran.
| | - Mohammad Safari
- Department of Otorhinolaryngology, Kerman University of Medical Sciences and Health Services, Kerman, Iran.,Corresponding Author: Department of Otorhinolaryngology, Shafa Hospital, Shafa Street, Kerman, Iran. Tel:034-32115780, E-mail:
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11
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Macchia G, Nord KH, D'Alessandro G, Nilsson J, Magnusson L, Mandahl N, Storlazzi CT, Mertens F. Rearrangements of chromosome bands 15q12-q21 are secondary to HMGA2 deregulation in conventional lipoma. Oncol Rep 2013; 31:807-11. [PMID: 24297246 DOI: 10.3892/or.2013.2889] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2013] [Accepted: 10/25/2013] [Indexed: 11/05/2022] Open
Abstract
Rearrangements of chromosome arm 15q are rare but recurrent in conventional lipomas, a tumor type often showing deregulated expression of the HMGA2 gene. In order to assess whether 15q rearrangements could constitute a distinct pathogenetic mechanism, we studied seven cases of conventional lipoma that at G-banding analysis had various rearrangements of 15q12-q21. The breakpoints in 15q were mapped by fluorescence in situ hybridization (FISH) and single nucleotide polymorphism array analyses, and the status of the HMGA2 gene was evaluated by FISH and/or quantitative PCR. We found an overlapping deletion on 15q in two cases, but no recurring breakpoint among the other cases. In addition, all cases displayed rearrangement of HMGA2 at the genomic or the transcriptional level. Although 15q rearrangements sometimes are noted as the sole aberration at cytogenetic analysis of conventional lipomas, they are secondary to HMGA2 deregulation.
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Affiliation(s)
- Gemma Macchia
- Department of Clinical Genetics, University and Regional Laboratories, Skåne University Hospital, Lund University, SE-221 85 Lund, Sweden
| | - Karolin H Nord
- Department of Clinical Genetics, University and Regional Laboratories, Skåne University Hospital, Lund University, SE-221 85 Lund, Sweden
| | | | - Jenny Nilsson
- Department of Clinical Genetics, University and Regional Laboratories, Skåne University Hospital, Lund University, SE-221 85 Lund, Sweden
| | - Linda Magnusson
- Department of Clinical Genetics, University and Regional Laboratories, Skåne University Hospital, Lund University, SE-221 85 Lund, Sweden
| | - Nils Mandahl
- Department of Clinical Genetics, University and Regional Laboratories, Skåne University Hospital, Lund University, SE-221 85 Lund, Sweden
| | | | - Fredrik Mertens
- Department of Clinical Genetics, University and Regional Laboratories, Skåne University Hospital, Lund University, SE-221 85 Lund, Sweden
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Magadum D, Sanadi A, Agrawal JM, Agrawal MS. Classic tongue lipoma: a common tumour at a rare site. BMJ Case Rep 2013; 2013:bcr2012007987. [PMID: 23370950 PMCID: PMC3603657 DOI: 10.1136/bcr-2012-007987] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Lipoma is the commonest benign tumour occurring at any anatomical site where fat is present, but occurrence in the oral cavity is rare. Tongue which is totally devoid of fat cells is a rare site for lipoma. This is one such rare case of the universal tumour, presenting at the lateral margin of the tongue, for which complete tumour excision was done. Macroscopically the mass had a hard consistency and measured 3.0 × 2.0 cm. From microscopic examination, diagnosis of lipoma was made. Recurrence of tongue lipoma is rare.
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Affiliation(s)
- Dilip Magadum
- Department of Oral Pathology, Bharti Vidyapeeth Dental College & Hospital, Sangli, Maharashtra, India
| | - Appasab Sanadi
- Department of Oral & Maxillofacial Surgery, Vasantdada Patil Dental College & Hospital, Sangli, Maharashtra, India
| | - Jiwanasha Manish Agrawal
- Department of Orthodontics, Bharti Vidyapeeth Dental College & Hospital, Sangli, Maharashtra, India
| | - Manish Suresh Agrawal
- Department of Orthodontics, Bharti Vidyapeeth Dental College & Hospital, Sangli, Maharashtra, India
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Lee SH, Yoon HJ. Bilateral asymmetric tongue classic lipomas. Oral Surg Oral Med Oral Pathol Oral Radiol 2012; 114:e15-8. [PMID: 22732851 DOI: 10.1016/j.tripleo.2011.07.045] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2011] [Accepted: 07/26/2011] [Indexed: 10/14/2022]
Abstract
Lipomas are most common benign mensenchymal neoplasm composed of mature adipocytes. But they are relatively infrequent on the oral and maxillofacial regions. In the present report, we report a rare case of bilateral involvement classic lipoma of the tongue. The patient was a 71-year-old man with asymmetric soft tissue nodules in both lateral borders of the tongue. The magnetic resonance imaging T1- and T2-weighted images demonstrated homogeneous high intensities similar to that of normal subcutaneous fat. The lesions were hypointense on the fat-suppressed T1 image. The tumors were resected surgically, and they exhibited the histopathologic features of classic lipomas, composed of mature fat cells. This suggests that differential diagnosis of intraoral multiple lipomatous nodules should include not only lipomatosis, but also multiple classic lipomas, notwithstanding the rare incidence of the latter.
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Affiliation(s)
- Sang-Hwa Lee
- Department of Oral and Maxillofacial Surgery, Yeouido St. Mary's Hospital, Catholic University of Korea, Seoul, South Korea
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14
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Motagi A, Aminzadeh A, Razavi SM. Large oral lipoma: Case report and literature review in Iran. Dent Res J (Isfahan) 2012; 9:350-2. [PMID: 23087744 PMCID: PMC3469905] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Lipoma is a benign mesenchymal tumor of fat with uncertain pathogenesis. Although the most common mesenchymal neoplasm in trunk and proximal portions of the extremities, it is rarely seen in the oral cavity. Oral lipomas are clinically soft, smooth-surfaced nodular masses that mostly are less than 3 cm in size. Typically the tumor is asymptomatic unless bitten or become noticeable because of their size. The buccal mucosa and buccal vestibule are the most common intraoral sites and account for 50% of all cases. Reported here is a relatively large lipoma of buccal mucosa that was treated surgically under local anesthesia. In an 18-month postsurgical follow up no complication or recurrence has occurred. This case will also be compared to intraoral lipomas reported in Iranian population. As lipomas are usually smaller than 3 cm in diameter, lipoma with the size reported, is of clinical importance. Since the large lipomas are in differential diagnosis with other, even malignant, mesenchymal, or salivary gland tumors. Thus, this case report recommends clinical awareness in diagnosis of large intraoral soft tissue lesions.
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Affiliation(s)
- Ahmad Motagi
- Department of Oral Surgery, School of Dentistry, Khorasgan (Isfahan) Branch, Islamic Azad University, Isfahan, Iran
| | - Atousa Aminzadeh
- Department of Oral Pathology, School of Dentistry, Khorasgan (Isfahan) Branch, Islamic Azad University, Isfahan, Iran,Address for correspondence: Assistant Professor, Atousa Aminzadeh, Department of Oral Pathology, School of Dentistry, Khorasgan (Isfahan) Branch, Islamic Azad University, Isfahan, Iran. E-mail:
| | - Seyed M. Razavi
- Torabinejad Dental Research Center and Department of Oral and Maxillofacial Pathology, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
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Bilgili SG, Karadag AS, Ceylan MF, Calka O, Turktas U, Bulut G. The development of giant lipoma on the BCG vaccine caused scar. Cutan Ocul Toxicol 2011; 31:70-3. [PMID: 21830906 DOI: 10.3109/15569527.2011.603105] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Lipoma is the most common mesenchymal tumors that accounts for about 6% of all soft-tissue tumors in children. The lesion size is usually around 1-2 cm that rarely reaches the bigger diameter. A 14-month-old baby girl was brought to our clinic for a progressively growing lesion on the left shoulder. The lesion started 4 months ago, and then was rapidly growing that caused pain and movement restriction. On the same site, there was a scar of BCG vaccination. The clinical and histopathological findings of the lesion were consistent with lipoma. The lesion was totally resected with no recurrence within 12 months. There are several complications related to BCG vaccination. However, the occurrence of lipoma on BCG vaccine caused scar has not been reported in literature. We reported this case because of its rarity and to emphasize that lipoma can present as a giant lesion in child.
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Affiliation(s)
- Serap Gunes Bilgili
- Faculty of Medicine, Department of Dermatology, Yuzuncu Yil University, Van, Turkey.
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