“…However, definitive diagnosis is achieved by histopathology and can differ from clinical diagnosis, which occurred in the case presented. 4 Treatment aims at complete removal of the mass, thus wide local excision with free margins is the preferred treatment for both noninfiltrating and infiltrating angiolipoma. Surgical excision is curative for noninfiltrating lesions, as recurrence rate is very low if excision is adequate.…”
Brief Reports should be submitted online to www.editorialmanager.com/ amsurg. (See details online under ''Instructions for Authors''.) They should be no more than 4 double-spaced pages with no Abstract or sub-headings, with a maximum of four (4) references. If figures are included, they should be limited to two (2). The cost of printing color figures is the responsibility of the author.In general, authors of case reports should use the Brief Report format.
“…However, definitive diagnosis is achieved by histopathology and can differ from clinical diagnosis, which occurred in the case presented. 4 Treatment aims at complete removal of the mass, thus wide local excision with free margins is the preferred treatment for both noninfiltrating and infiltrating angiolipoma. Surgical excision is curative for noninfiltrating lesions, as recurrence rate is very low if excision is adequate.…”
Brief Reports should be submitted online to www.editorialmanager.com/ amsurg. (See details online under ''Instructions for Authors''.) They should be no more than 4 double-spaced pages with no Abstract or sub-headings, with a maximum of four (4) references. If figures are included, they should be limited to two (2). The cost of printing color figures is the responsibility of the author.In general, authors of case reports should use the Brief Report format.
“…Various diagnostic modalities can be used—US, contrast-enhanced CT scan and magnetic resonance imaging (MRI). Moreover, diagnostic tools such as FNA biopsy are appropriate [ 21 ]. US imaging can be used as a first line method since it is available, does not include ionization radiation and can be combined with guided FNA and biopsy, as used in this case.…”
Section: Discussionmentioning
confidence: 99%
“…Surgical excision is curative for noninfiltrating lesions, as the recurrence rate is very low if excision is adequate. However, infiltrating angiolipomas have up to a 50% rate of recurrence [ 21 ]. Careful dissection must be achieved to avoid damage to the surrounding structures, such as the transverse cervical vessels as in this case.…”
Section: Discussionmentioning
confidence: 99%
“…Moreover, the surgeon should bear in mind that hemostasis is crucial due to the blood vessels inside and surrounding the lesion. The overall prognosis for angiolipoma is good, as no malignant potential transformation has been reported [ 20 , 21 ]. However, these benign tumors do not spontaneously regress and can become larger, tenderer, and more cosmetically disfiguring, as in this case [ 20 ].…”
Angiolipoma, distinguishable from other lipomas by its excessive degree of vascular vessels, are rare in the head and neck and require unique management. A slow growing mass, located underneath the inferior border of the right mandibular angle of a 51-year-old female, was excised under general anesthesia. Unexpected excessive bleeding during the excision was observed and the histological specimen was diagnosed as angiolipoma. As shown in this case report, pre-operative imaging modalities have a crucial influence and are sufficient to diagnose and manage angiolipomas. The “Gold standard” treatment is excision with clear margins and bleeding management should be taken into account according to appropriate differential diagnosis.
“…[ 2 ] However, the incidence of AL is extremely rare in the intraoral region, with only 21 reported cases in English literature. [ 3 ] This case report presents the 22 nd case of intraoral AL of massive size.…”
We present an extremely rare case of noninfiltrating angiolipoma (AL) of the buccal mucosa in a 90-year-old patient reaching a size of 14 cm × 10 cm. AL is rare in the soft tissues of oral cavity, and till date, only 22 cases have been reported, including our case. If size be taken into consideration, our case can be considered to be the first in literature to reach this massive size. Surgical excision of the tumor mass was performed. The histopathological findings confirmed the diagnosis of noninfiltrating AL. Follow-up for 1 year revealed no signs of recurrence.
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