A rare presentation of lipoma on mandibular mucogingival junction

Sharma, Gaurav; Jain, Kishor S.; Nagpal, Archna; Baiju, Chandrababu Sudha

doi:10.4103/0972-124x.170827

Cited by 6 publications

(11 citation statements)

References 12 publications

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“…(Table 3). (1,3,7,14,15,16,21,47,48) Clinically most of the lipomas presented as a soft tissue painless growth, irrespective of their histological diagnosis and they often masquerade other common neoplastic and reactive growths of oral cavity i.e. peripheral giant cell granuloma, fibroma, pyogenic granuloma etc.…”

Section: Resultsmentioning

confidence: 99%

Prevalence of oral lipomas in Indian population: An institutional retrospective study of 12 years and analysis of 49 published cases from 1976 – 2017 reported in Indian patients

2016

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Background:Lipomas are benign mesenchymal tumors of soft tissue that can be found anywhere in the body: However their presence in oral cavity is very rare (4.4%). Histopathologically lipomas are classified as simple lipomas and different variants. The present study describes the prevalence of oral lipomas with relation to patient's age, their site of occurrence and histological pattern in Indian population. Methods: All cases of oral lipomas reported in the department of oral pathology and microbiology, N.I.M.S dental college Jaipur (India) from 2005 to 2017 for age, gender, site of occurrence, histopathological pattern and treatment mode were reviewed. The published case reports of oral lipomas reported in Indian patients from 1976 -2017 also reviewed through pubmed by using MeSH word; oral lipoma and combined the data with the data of present study to analyze the prevalence and histopathological characteristic of oral lipomas in Indian population. Results: Total of 23 (14 males and 9 females) cases included in the study. The mean age was 34.3 years (range 17 -71). The specific sites involved were buccal mucosa (n = 9) Tongue (n = 5) buccal vestibule (n = 2) Lip (n -= 3) Floor of mouth (n = 1), palate (n = 2) and retro molar pad (n = 1). Histopathological examination revealed 11 cases were diagnosed as simple lipoma, 6 cases were fibrolipoma, 2 cases were angiolipoma, 1 case each of osteolipoma, myxolioma, angiomyxolipoma and hibernoma. All cases treated with surgical excision only one case showed radiographical sign. This data was combined with the data of published cases (pubmed) of oral lipoma in Indian population. Conclusion: Oral lipomas are rare neoplasms of oral cavity; only 49 published cases have been found from 1976 -2017 in Indian population. Oral lipoma should be considered as a differential diagnosis of oral soft tissue swelling. Surgical excision is the treatment of choice for all such tumors.

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Section: Resultsmentioning

confidence: 99%

Prevalence of oral lipomas in Indian population: An institutional retrospective study of 12 years and analysis of 49 published cases from 1976 – 2017 reported in Indian patients

2016

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“…On an epidemiological aspect, the average age of onset for lipomas is 54.6 years with an equal distribution between the two genders [6,10]. This type of lesion is mainly diagnosed between 40 and 60 years old.…”

Section: Commentsmentioning

confidence: 99%

“…Most often, this type of lesion remains asymptomatic [1,3]. However, some authors associate intraoral lipomas with other symptoms, such as dysphagia and dyspnea, depending on the size and anatomical location of the lesion [6,10]. The main differential diagnosis is atypical lipomatous tumor/well-differentiated liposarcoma (ALT/WDLS).…”

Section: Commentsmentioning

confidence: 99%

“…Medical ultrasound is also useful for the characterization and the follow up of a typical superficial lipoma [1]. Easily available and inexpensive, ultrasound will be the first-line examination in this context [10], showing a homogenous and hypoechoic mass [1,10].…”

Section: Commentsmentioning

confidence: 99%

“…Although this lesion is the most common benign soft tissue tumor [6], intraoral locations are rare [7]. The most affected anatomical sites are mucous membranes, lips, tongue, palate, floor of the mouth and gums [5,[8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

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Intraoral fibrolipoma: case report and review of literature

Gall

Laurence

Khalifa³

et al. 2018

J Oral Med Oral Surg

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Introduction: Lipomas are benign soft tissue tumors, characterized by the presence of mature adipocytes in histopathology. Their development is slow and their etiologies are still controversial. Frequently subcutaneous, this type of lesion is rarely present in the oral cavity. Observation: A 67-year-old man consulted for a nodule on the inner face of his right cheek which had been developing for several years, with severe discomfort during chewing. The typical clinical aspect of this lesion suggested a lipoma. Magnetic resonance imaging (MRI) was performed before surgical excision in order to establish a differential diagnosis with a well-differentiated liposarcoma. Comments: The various imaging examinations, particularly MRI, combined with the analysis of the fat component and the morphology of the non-fat component (septa) enable us to define several categories of lesions likely to have a benign or malignant character. However, some lesions remain difficult to classify, and it is the histopathological examination along with, if necessary, immunohistochemistry (anti-MDM2 and/or anti-CDK4), which allows to confirm or not the malignancy of a lesion. Histological examination suggested a fibrolipoma. Conclusion: Although benign, the size of a fibrolipoma may can lead to significant functional and aesthetic discomfort for the patient. Surgical excision remains the treatment of choice.

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Fibrolipoma of the Tongue: a Rare Entity With Literature Review

Nagar

D’souza

Priyadharsini³

et al. 2022

Preprint

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Lipoma is a benign soft tissue mesenchymal tumour, slow growing, usually involving the trunk and proximal parts of extremities and occasionally found within the oral cavity. Intra-oral lipomas are rare and so is its variant fibrolipoma. Buccal mucosa, tongue, the floor of mouth, palate, gingiva, lips and retromolar area are commonly affected. The tongue which is devoid of fat cells is a rare site for lipoma. Here, we report a 36-year-old female patient with a complaint of a painless swelling on the anterior tongue which was present for 5 years with a gradual increase in size, difficulty in speaking, chewing food and having an aesthetic concern. Surgical excision was done and histopathologically diagnosed as fibrolipoma of the tongue. Although rare but fibrolipoma should be considered as one of the differential diagnoses among the lesions affecting the tongue.

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A rare presentation of lipoma on mandibular mucogingival junction

Cited by 6 publications

References 12 publications

Prevalence of oral lipomas in Indian population: An institutional retrospective study of 12 years and analysis of 49 published cases from 1976 – 2017 reported in Indian patients

Prevalence of oral lipomas in Indian population: An institutional retrospective study of 12 years and analysis of 49 published cases from 1976 – 2017 reported in Indian patients

Intraoral fibrolipoma: case report and review of literature

Fibrolipoma of the Tongue: a Rare Entity With Literature Review

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