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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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Xie S, Goh GSL, Hsu CD. Intralesional methylprednisolone injection as an adjunct treatment for peri-cloacal pyogranuloma in an African penguin (Spheniscus demersus). J Vet Med Sci 2019; 81:1632-1635. [PMID: 31645510 PMCID: PMC6895638 DOI: 10.1292/jvms.19-0245] [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] [Indexed: 12/04/2022] Open
Abstract
An African penguin (Spheniscus demersus) presented with a large peri-cloacal mass. The mass was diagnosed as a pyogranuloma histologically, with multifocal to coalescing inflammatory responses in the subcutis and keratinized simple stratified squamous epithelium overlying the surface. The patient was prescribed 125 mg/kg oral clavulanic acid/amoxycillin twice a day and 20 mg/kg oral terbinafine once a day for 14 days, but there was no change in the size of the mass 4 days after therapy, so a decision was made to administer 1 mg/kg of intralesional methylprednisolone. Fourteen days later, the mass resolved with no further recurrence. This case demonstrated that intralesional methylprednisolone used with antibiotic and antifungals was effective in resolving a peri-cloacal pyogranuloma and without any side effects.
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Affiliation(s)
- Shangzhe Xie
- Wildlife Reserves Singapore, 80 Mandai Lake Road, Singapore 729826, Singapore
| | | | - Chia-Da Hsu
- Wildlife Reserves Singapore, 80 Mandai Lake Road, Singapore 729826, Singapore
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Hayward WA, Sibbitt WL, Sibbitt RR, Muruganandam M, Rolle NA, Fangtham M, Suzanne Emil N, Kettwich SK. Intralesional Injection of Triamcinolone Acetonide for Subcutaneous Lipoma causing Musculoskeletal and Neurologic Symptoms. THE JOURNAL OF CLINICAL AND AESTHETIC DERMATOLOGY 2018; 11:38-42. [PMID: 29785238 PMCID: PMC5955633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Objective: Benign subcutaneous lipomas can cause musculoskeletal pain and nerve impingement. We hypothesized that the potent lipolytic and atrophic effect of 40mg/mL triamcinolone acetonide would atrophy symptomatic lipomas so surgical excision could be avoided. Design: This was a cohort study. Setting: This study took place in an ultrasound injection clinic. Participants: Eight subjects with painful symptomatic lipoma were included. Measurements: Preprocedurally, the margins of the lipomas were palpated and marked with ink, then measured in centimeters (cm). Small lipomas (1-3cm) were injected with 40mg triamcinolone acetonide, while large lipomas (4-6cm) were injected with 80mg of triamcinolone acetonide. The subjects were reassessed at a four-month follow-up appointment and then again at one year and two years after the procedure. Results: Pre-injection, all eight subjects had symptoms related to impingement or pain with compression of the lipoma. At four months post-injection, none of the patients had symptoms attributable to the lipoma (p<0.001). The mean lipoma palpable dimension was 5.0±1.2cm prior to the injection and was 2.0±1.1cm at four months after the injection, with a significant mean 3.0±0.3cm (60%) reduction in lipoma dimensions (p<0.001). Two subjects demonstrated some mild hypopigmentation of the skin at four months post-injection. Within two years, three lipomas had symptomatically recurred, one of which was removed surgically and the two of which were reinjected. There were no infections or other serious adverse reactions that occurred. Conclusions: For individuals with painful subcutaneous lipoma, intralesional injection of 40mg/mL of triamcinolone acetonide is an effective and safe alternative to surgical excision or injection of sclerosing agents and should be considered as a reasonable therapeutic alternative in select patients.
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Affiliation(s)
- William A Hayward
- Dr. Hayward is with the Department of Exercise and Sport Sciences at New Mexico Highlands University in Las Vegas, New Mexico
- Drs. W. Sibbitt, Muruganandam, Rolle, and Fangtham are with the Department of Internal Medicine, Division of Rheumatology and School of Medicine at University of New Mexico Health Sciences Center in Albuquerque, New Mexico
- Dr. R. Sibbitt is with Montana Interventional and Diagnostic Radiology in Helena, Montana. Ms. Kettwich is with the School of Dentistry at Oregon Health & Science University in Portland, Oregon
| | - Wilmer L Sibbitt
- Dr. Hayward is with the Department of Exercise and Sport Sciences at New Mexico Highlands University in Las Vegas, New Mexico
- Drs. W. Sibbitt, Muruganandam, Rolle, and Fangtham are with the Department of Internal Medicine, Division of Rheumatology and School of Medicine at University of New Mexico Health Sciences Center in Albuquerque, New Mexico
- Dr. R. Sibbitt is with Montana Interventional and Diagnostic Radiology in Helena, Montana. Ms. Kettwich is with the School of Dentistry at Oregon Health & Science University in Portland, Oregon
| | - Randy R Sibbitt
- Dr. Hayward is with the Department of Exercise and Sport Sciences at New Mexico Highlands University in Las Vegas, New Mexico
- Drs. W. Sibbitt, Muruganandam, Rolle, and Fangtham are with the Department of Internal Medicine, Division of Rheumatology and School of Medicine at University of New Mexico Health Sciences Center in Albuquerque, New Mexico
- Dr. R. Sibbitt is with Montana Interventional and Diagnostic Radiology in Helena, Montana. Ms. Kettwich is with the School of Dentistry at Oregon Health & Science University in Portland, Oregon
| | - Maheswari Muruganandam
- Dr. Hayward is with the Department of Exercise and Sport Sciences at New Mexico Highlands University in Las Vegas, New Mexico
- Drs. W. Sibbitt, Muruganandam, Rolle, and Fangtham are with the Department of Internal Medicine, Division of Rheumatology and School of Medicine at University of New Mexico Health Sciences Center in Albuquerque, New Mexico
- Dr. R. Sibbitt is with Montana Interventional and Diagnostic Radiology in Helena, Montana. Ms. Kettwich is with the School of Dentistry at Oregon Health & Science University in Portland, Oregon
| | - Noelle A Rolle
- Dr. Hayward is with the Department of Exercise and Sport Sciences at New Mexico Highlands University in Las Vegas, New Mexico
- Drs. W. Sibbitt, Muruganandam, Rolle, and Fangtham are with the Department of Internal Medicine, Division of Rheumatology and School of Medicine at University of New Mexico Health Sciences Center in Albuquerque, New Mexico
- Dr. R. Sibbitt is with Montana Interventional and Diagnostic Radiology in Helena, Montana. Ms. Kettwich is with the School of Dentistry at Oregon Health & Science University in Portland, Oregon
| | - Monthida Fangtham
- Dr. Hayward is with the Department of Exercise and Sport Sciences at New Mexico Highlands University in Las Vegas, New Mexico
- Drs. W. Sibbitt, Muruganandam, Rolle, and Fangtham are with the Department of Internal Medicine, Division of Rheumatology and School of Medicine at University of New Mexico Health Sciences Center in Albuquerque, New Mexico
- Dr. R. Sibbitt is with Montana Interventional and Diagnostic Radiology in Helena, Montana. Ms. Kettwich is with the School of Dentistry at Oregon Health & Science University in Portland, Oregon
| | - N Suzanne Emil
- Dr. Hayward is with the Department of Exercise and Sport Sciences at New Mexico Highlands University in Las Vegas, New Mexico
- Drs. W. Sibbitt, Muruganandam, Rolle, and Fangtham are with the Department of Internal Medicine, Division of Rheumatology and School of Medicine at University of New Mexico Health Sciences Center in Albuquerque, New Mexico
- Dr. R. Sibbitt is with Montana Interventional and Diagnostic Radiology in Helena, Montana. Ms. Kettwich is with the School of Dentistry at Oregon Health & Science University in Portland, Oregon
| | - Scarlett K Kettwich
- Dr. Hayward is with the Department of Exercise and Sport Sciences at New Mexico Highlands University in Las Vegas, New Mexico
- Drs. W. Sibbitt, Muruganandam, Rolle, and Fangtham are with the Department of Internal Medicine, Division of Rheumatology and School of Medicine at University of New Mexico Health Sciences Center in Albuquerque, New Mexico
- Dr. R. Sibbitt is with Montana Interventional and Diagnostic Radiology in Helena, Montana. Ms. Kettwich is with the School of Dentistry at Oregon Health & Science University in Portland, Oregon
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Lai GP, Selmic LE, Hummel DH, Joslyn SK. Mandibular infiltrative lipoma in a mixed breed dog. VETERINARY RECORD CASE REPORTS 2017. [DOI: 10.1136/vetreccr-2017-000425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- Grace Pei‐Chun Lai
- Small Animal Clinical ScienceMichigan State UniversityEast LansingMichiganUSA
| | - Laura E Selmic
- Veterinary Clinical MedicineUniversity of IllinoisUrbanaIllinoisUSA
| | - David H Hummel
- Chicago Veterinary Emergency and Specialty CenterChicagoIllinoisUSA
| | - Stephen K Joslyn
- Veterinary Clinical MedicineUniversity of IllinoisUrbanaIllinoisUSA
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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: 56] [Impact Index Per Article: 5.6] [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.
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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
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Sharkey LC, Seelig DM, Overmann J. All lesions great and small, part 1: Diagnostic cytology in veterinary medicine. Diagn Cytopathol 2014; 42:535-43. [DOI: 10.1002/dc.23097] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2013] [Accepted: 01/09/2014] [Indexed: 12/18/2022]
Affiliation(s)
- Leslie C Sharkey
- Department of Veterinary Clinical Sciences; University of Minnesota; St Paul Minnesota
| | - Davis M. Seelig
- Department of Veterinary Clinical Sciences; University of Minnesota; St Paul Minnesota
| | - Jed Overmann
- Department of Veterinary Clinical Sciences; University of Minnesota; St Paul Minnesota
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