J Korean Assoc Oral Maxillofac Surg.  2017 Dec;43(Suppl 1):S6-S8. 10.5125/jkaoms.2017.43.S1.S6.

Unusual complications caused by lipoma of the tongue

• Cocca S
• Viviano M
• Parrini S

• KMID: 2399918
• DOI: http://doi.org/10.5125/jkaoms.2017.43.S1.S6

Abstract

Lipoma is the most common, benign, soft tissue, mesenchymal tumour and is composed of mature adipose tissue. It is infrequent in the oral cavity (approximately 0.3% of all tongue neoplasias). We describe the case of a 68-year-old man with a swelling at the tongue edge and tongue dysesthesia. Medical history, clinical assessment, radiographic images, and cytological analysis enabled specialists to classify this neoplasia as a lipoma. The patient recovered fully after surgical excision of the affected area, and the neuralgic symptoms regressed. Surgical excision is an elective treatment; however, accurate differential diagnosis, histological examination, and follow-up are required.

Keyword

Tongue; Lipoma; Oral cavity; Macroglossia; Hypoesthesia

MeSH Terms

Adipose Tissue
Aged
Diagnosis, Differential
Follow-Up Studies
Humans
Hypesthesia
Lipoma*
Macroglossia
Mouth
Paresthesia
Specialization
Tongue*

Figure

• 

  Fig. 1 Nodular lesion on the right ventral surface of the tongue. The lesion was asymptomatic, well defined, smooth with soft consistency and with normal lingual mucosal surface.

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  Fig. 2 Expositing the mass. An excisional biopsy and enucleation of the lesion was performed.

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  Fig. 3 Histological features. Microscopic examination revealed mature adipocytes sepimented by thin fibrous connective tissue, clusters of unvacuolated fat cells forming lace-like sheets and bland peripheral nuclei (H&E staining, A: ×50, B: ×100).

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