1
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Queiroz A, Maia PEG, Lemos JBD, Trierveiler M. Bilateral intraosseous lipoma of the maxillary tuberosity: A challenging entity. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2023; 124:101482. [PMID: 37088329 DOI: 10.1016/j.jormas.2023.101482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Revised: 04/19/2023] [Accepted: 04/20/2023] [Indexed: 04/25/2023]
Abstract
Lipomas can occur anywhere in the body where fat cells are present; however, intraosseous lipomas are rare. Although solitary lesions have already been reported in the gnathic bones, to the best of our knowledge, this is the first case of bilateral intraosseous lipoma. A 62-year-old woman was referred for evaluation of a swelling on both maxillary tuberosities. The radiographic examination showed a mixed radiolucent-radiopaque image with ill-defined borders on the right side of the maxilla, and an ill-defined radiolucency on the left side. Histologically, both sides revealed numerous mature adipocytes surrounded by immature bone and dystrophic calcification. The patient remains under follow-up and free of disease for 8 months. Due to the rarity of the intraosseous lipomas in the jaws, a literature review of the published cases was performed jointly with this unique case report.
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Affiliation(s)
- Aline Queiroz
- Division of Oral and Maxillofacial Pathology, School of Dentistry, University of São Paulo, Av. Lineu Prestes, 2227, São Paulo, SP 05508-000, Brazil
| | - Paulo Eduardo Garcia Maia
- Foundation for the Scientific and Technological Development of Dentistry, FUNDECTO, University of São Paulo, Av. Lineu Prestes, 2227, São Paulo, SP 05508-000, Brazil
| | - José Benedito Dias Lemos
- Department of Surgery, School of Dentistry, University of São Paulo, Av. Lineu Prestes, 2227, São Paulo, SP 05508-000, Brazil
| | - Marília Trierveiler
- Division of Oral and Maxillofacial Pathology, School of Dentistry, University of São Paulo, Av. Lineu Prestes, 2227, São Paulo, SP 05508-000, Brazil.
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2
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Intraosseous Lipoma Mimicking Periapical Lesion: A Rare Presentation. Case Rep Dent 2022; 2022:5462352. [PMID: 36389205 PMCID: PMC9646318 DOI: 10.1155/2022/5462352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2022] [Revised: 08/28/2022] [Accepted: 09/17/2022] [Indexed: 01/25/2023] Open
Abstract
Lipoma is one of the benign soft-tissue tumors in the adipose tissue. Oral lipomas comprise 1%-5% of benign oral tumors. They are slow-growing, soft, asymptomatic, solitary tumors. In this case report, a 45-year-old female patient having swelling on the upper right arch for 2 months has been reported. Clinically, the right upper second premolar and first molar were grossly carious, with diffuse swelling on the adjacent vestibule. A provisional diagnosis of the periapical abscess was rendered. Radiological evaluation and routine blood tests were performed. After the tissue was obtained, following teeth extraction and socket curettage, it was sent for histopathological evaluation, and findings suggested intraoral intraosseous lipoma. Clinically, they are asymptomatic, and therefore, if it was not curetted and histopathologic evaluation not done, and only thought to be just a swelling or a periapical abscess, proper treatment could not have been established. This paper will surely bring out the importance of histopathology in routine dentistry and the role of histopathological evaluation of periapical soft tissues.
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3
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Chhetri P, Nandini DB, Singh KS, Banerjee S. Fibrolipoma of the Buccal Mucosa in a Geriatric Patient. J Microsc Ultrastruct 2022; 10:204-207. [PMID: 36687332 PMCID: PMC9846926 DOI: 10.4103/jmau.jmau_97_21] [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: 12/28/2021] [Revised: 01/21/2022] [Accepted: 02/21/2022] [Indexed: 01/25/2023] Open
Abstract
Lipoma is the most common mesenchymal tumor seen in the trunk and extremities. It is rarely found in the mouth. Clinically, it resembles other lesions and is not considered in the initial diagnosis. Histopathological evaluation is needed for accurate diagnosis. Surgical excision is the main treatment modality. Histologically, many variants are described of which fibrolipoma is thought to have some recurrence. This article describes a case of fibrolipoma of the buccal mucosa in a geriatric patient.
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Affiliation(s)
- Priyanka Chhetri
- Department of Oral Pathology Microbiology, Dental College, Regional Institute of Medical Sciences, Imphal, Manipur, India
| | - D. B. Nandini
- Department of Oral Pathology Microbiology, Dental College, Regional Institute of Medical Sciences, Imphal, Manipur, India,Address for correspondence: Dr. D. B. Nandini, Department of Oral Pathology and Microbiology, Dental College, Regional Institute of Medical Sciences, Imphal, Manipur, India. E-mail:
| | - Koijam Sashikumar Singh
- Department of Oral Medicine and Radiology, Dental College, Regional Institute of Medical Sciences, Imphal, Manipur, India
| | - Sumita Banerjee
- Department of Oral Pathology Microbiology, Dental College, Regional Institute of Medical Sciences, Imphal, Manipur, India
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4
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Clinicoradiographic Features and Histopathologic Variations of Intraosseous Lipoma: Report of a Case and Review of the Literature. Case Rep Dent 2021; 2021:2073001. [PMID: 34285819 PMCID: PMC8275430 DOI: 10.1155/2021/2073001] [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: 04/29/2021] [Revised: 06/08/2021] [Accepted: 06/22/2021] [Indexed: 11/17/2022] Open
Abstract
Intraosseous lipoma is a very rare lesion, and the jaw is its least common bone location. Fibrolipoma is a microscopic variant of lipoma which is characterized by a significant fibrous component intermixed with lobules of fat cells. Intraosseous fibrolipoma of the jaw is a rare lesion, and to the best of our knowledge, only two cases have been reported from 1948 in English literature. This paper presents a 39-year-old man with a chief complaint of tooth displacement in the anterior region of the mandible. Radiographic evaluation revealed a unilocular radiolucent lesion with sclerotic borders located between the left lateral incisor and canine. Histopathologic evaluation after an excisional biopsy confirmed the diagnosis of intraosseous fibrolipoma. We also reviewed the literature on this rare lesion.
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5
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Alharbi AS. Intraoral Lipoma of the Cheek - A Case Report With a One-Year Follow-up and Review of Literature. Cureus 2020; 12:e10537. [PMID: 32968606 PMCID: PMC7505536 DOI: 10.7759/cureus.10537] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Lipomas are mesenchymal adipose tumors that are most common in the human body. However, they are rare in the oral cavity at an occurrence rate of 1% to 4% with male gender predilection. The case presented is of a 37-year-old male who presented with a large painless swelling on the right cheek region. The swelling was present for the past year and had aggravated in the previous one month, causing discomfort during mastication and speech. On clinical examination, a solitary non-fluctuating circumferential swelling on the right cheek was observed. A provisional diagnosis of lipoma was made based on the history and clinical examination, and it was decided to treat by surgical excision. A final diagnosis of lipoma was made based on histopathological analysis of the excised specimen. The patient at a one-week follow-up had recovered from his speech and chewing problems, and no recurrence was reported at a one-year follow-up.
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Affiliation(s)
- Amal S Alharbi
- Department of Oral and Maxillofacial Surgery, Al Rass General Hospital, Alqassim, SAU
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6
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Sun HH, Lin SC, Park CM, Elo JA. Asymptomatic intrabony radiolucency of the anterior mandible. Oral Surg Oral Med Oral Pathol Oral Radiol 2020; 130:350-356. [PMID: 32173391 DOI: 10.1016/j.oooo.2019.05.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2018] [Revised: 04/28/2019] [Accepted: 05/07/2019] [Indexed: 11/30/2022]
Affiliation(s)
- Ho-Hyun Sun
- Division of Oral and Maxillofacial Surgery, Alameda Health System, Highland Hospital, Oakland, CA, USA; University of the Pacific, Dugoni School of Dentistry, San Francisco, CA, USA
| | - Sheng-Chuan Lin
- Division of Oral and Maxillofacial Surgery, Alameda Health System, Highland Hospital, Oakland, CA, USA; University of the Pacific, Dugoni School of Dentistry, San Francisco, CA, USA
| | - Chan M Park
- Division of Oral and Maxillofacial Surgery, Alameda Health System, Highland Hospital, Oakland, CA, USA; University of the Pacific, Dugoni School of Dentistry, San Francisco, CA, USA
| | - Jeffrey A Elo
- Division of Oral and Maxillofacial Surgery, College of Dental Medicine, Western University of Health Sciences, Pomona, CA, USA; Department of Oral and Maxillofacial Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA.
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7
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Dehghani N, Razmara F, Padeganeh T, Mahmoudi X. Oral lipoma: Case report and review of literature. Clin Case Rep 2019; 7:809-815. [PMID: 30997091 PMCID: PMC6452461 DOI: 10.1002/ccr3.2099] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2018] [Revised: 02/11/2019] [Accepted: 02/17/2019] [Indexed: 12/16/2022] Open
Abstract
Lipoma is a benign neoplasm that primarily affects the middle-aged individuals and has a rare oral cavity occurrence. Given its noninvasive behavior and low recurrence rate, surgical conservative management should be regarded as the best therapeutic option. This paper highlights two patients along with their improved conditions following the treatment.
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Affiliation(s)
- Nima Dehghani
- Department of Oral and Maxillofacial SurgeryTehran University of Medical SciencesTehranIran
| | - Farnoosh Razmara
- Department of Oral and Maxillofacial SurgeryTehran University of Medical SciencesTehranIran
| | - Tahereh Padeganeh
- Department of Oral and Maxillofacial SurgeryTehran University of Medical SciencesTehranIran
| | - Xaniar Mahmoudi
- School of Dentistry, International CampusTehran University of Medical SciencesTehranIran
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8
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Intraosseous lipoma of the maxillary tuberosity: A case report. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2017; 119:151-153. [PMID: 29158069 DOI: 10.1016/j.jormas.2017.11.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/13/2017] [Revised: 11/05/2017] [Accepted: 11/12/2017] [Indexed: 10/18/2022]
Abstract
Intraosseous lipoma appears less frequently in the maxilla than in the mandible. The initial phase of tumor development is characterized by asymptomatic growth, followed by the presence of pain and paresthesia in the later stage. We report the case of a 43-year-old female patient who contacted a doctor because of periodic pains and stupor in the left side of the upper jaw. The exostosis-like formation was found by palpation, subsequently raising suspicion of an odontogenic tumor on the basis of panoramic imaging (dental orthopan). The intraosseous lipoma was histopathologically diagnosed after surgical procedure and standardized treatment of removed tumefaction. Clinical features and x-ray findings of the intraosseous lipoma within the maxillary region are generally blurred. Surgery is the recommended treatment, and histopathology analysis is of utmost importance for the final diagnosis.
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9
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Cooper TJ, Lincoln T, James DT, Borgna S. Intraosseous spindle cell lipoma of the mandible: case report. Br J Oral Maxillofac Surg 2017; 55:839-840. [PMID: 28735633 DOI: 10.1016/j.bjoms.2017.06.015] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2017] [Accepted: 06/27/2017] [Indexed: 01/27/2023]
Abstract
We describe what is to our knowledge the first reported intraosseous spindle cell lipoma of the mandible. It is the first spindle cell lipoma we have seen that shows dental resorption, and the largest that we have seen published (60×30×20mm).
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Affiliation(s)
| | | | | | - S Borgna
- Royal Brisbane and Women's Hospital
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10
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Waśkowska J, Wójcik S, Koszowski R, Drozdzowska B. Intraosseous Lipoma of the Mandibula: A Case Report and Review of the Literature. Open Med (Wars) 2017; 12:45-49. [PMID: 28401200 PMCID: PMC5385973 DOI: 10.1515/med-2017-0008] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2016] [Accepted: 02/12/2017] [Indexed: 11/15/2022] Open
Abstract
Lipoma is a benign tumour originating from mature adipose tissue. It can occur in any place in the body where adipose tissue is located. Intraosseous lipoma is a very rare bone tumour. The authors present an infrequent case involving intraosseous lipoma of the mandible in a 32-year old man and provide a review of case studies documented earlier in the literature.
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Affiliation(s)
- Jadwiga Waśkowska
- Academic Centre of Dentistry Bytom Plac Akademicki 17, 41-902 Bytom, Poland
| | - Sylwia Wójcik
- Chair of Dental Surgery, Department of Cranio-Maxillofacial Surgery and Oral Surgery, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, Plac Akademicki 17, Bytom 41-902, Poland
| | - Rafał Koszowski
- Academic Centre of Dentistry Bytom Plac Akademicki 17, 41-902 Bytom, Poland
| | - Bogna Drozdzowska
- Chair of Pathomorphology, Medical University of Silesia in Katowice, Poland
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11
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Sanjuan A, Dean A, Garcia B, Alamillos F, Roldan E, Blanco A. Condylar intramedullary intraosseous lipoma: Contribution of a new case and review of the literature. J Clin Exp Dent 2017; 9:e498-e502. [PMID: 28298998 PMCID: PMC5347305 DOI: 10.4317/jced.53421] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2016] [Accepted: 09/28/2016] [Indexed: 11/24/2022] Open
Abstract
Background Lipoma is the most common benign tumour of the human body, being intraosseous involvement very rare. Just 1 to 4% of all cases of lipoma are located in the oral cavity, only 0.1% being intraosseous. The jaw is its most uncommon bone location. Etiology of intraosseous lipoma (IOL) is unknown, although several theories have been proposed. Usually asymptomatic, the symptoms, when present, will depend on its location and size. Its origin may be intraosseous or juxtacortical. A biopsy is essential for diagnosis, and definitive treatment involves resection or curettage of the lesion. The aim of this paper is to present a new case of intramedullary intraosseous lipoma of the mandible with involvement of the left mandibular ramus and condylar neck. Material and Methods A case of intramedullary intraosseous lipoma (IOL) on the left mandibular ramus and condyle is presented. No history of trauma in temporomandibular joint existed. The radiology showed a radiolucent multi-lobulated lesion with values of attenuation in the range of fat. Curettage is performed and the histopathology showed a conglomerate of adipocytes without trabeculae, calcifications or atypia. Results According to the bibliography 24 cases of mandibular IOL have been described. This is the second reported case of condylar involvement and the first with cortical expansion. Conclusions Lipoma intraosseous is a very rare benign bone neoplasm. Histology is required for the differential diagnosis from other radiolucent lesions. The IOL treatment is the curettage with a good prognosis, although malignant transformation to liposarcoma has been reported in other locations. It is a disease with a difficult differential diagnosis, therefore the publication of new cases is important. Key words:Intraosseous lipoma, lipoma, jaw tumour, condylar tumour.
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Affiliation(s)
- Alba Sanjuan
- MD, Oral and Maxillofacial Surgery Department, Reina Sofía University Hospital. Maimonides Biomedical Research Institute. Cordoba. Spain
| | - Alicia Dean
- MD, Head, Oral and Maxillofacial Surgery Department, Reina Sofía University Hospital. Maimonides Biomedical Research Institute. University of Cordoba, School of Medicine. Cordoba. Spain
| | - Blas Garcia
- MD, Oral and Maxillofacial Surgery Department, Reina Sofía University Hospital. Maimonides Biomedical Research Institute. Cordoba. Spain
| | - Francisco Alamillos
- MD, Assistant, Oral and Maxillofacial Surgery Department, Reina Sofía University Hospital. Maimonides Biomedical Research Institute. University of Cordoba, School of Medicine. Cordoba. Spain
| | - Elisa Roldan
- MD, Assistant, Radiology Department, Reina Sofía University Hospital. Maimonides Biomedical Research Institute. Cordoba. Spain
| | - Antonio Blanco
- MD, Dentist, Health district, Córdoba - Guadalquivir, Andalucian Health Service. Maimonides Biomedical Research Institute. University of Cordoba. Cordoba. Spain
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12
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Touil H, Hamila J, Bouzaiene M. A rare mandibular tumour. Eur Ann Otorhinolaryngol Head Neck Dis 2016; 134:131-134. [PMID: 27988195 DOI: 10.1016/j.anorl.2016.11.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- H Touil
- Service de stomatologie et de chirurgie maxillo-faciale, hôpital Tahar Sfar, Hiboun, 5111 Mahdia, Tunisia.
| | - J Hamila
- Service de stomatologie et de chirurgie maxillo-faciale, hôpital Tahar Sfar, Hiboun, 5111 Mahdia, Tunisia
| | - M Bouzaiene
- Service de stomatologie et de chirurgie maxillo-faciale, hôpital Tahar Sfar, Hiboun, 5111 Mahdia, Tunisia
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13
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Mohanty S, Dabas J, Gupta S, Urs AB, Kohli S, Yadav S. A mandibular swelling of long duration. Oral Surg Oral Med Oral Pathol Oral Radiol 2016; 124:214-219. [PMID: 27717715 DOI: 10.1016/j.oooo.2016.08.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2016] [Revised: 07/19/2016] [Accepted: 08/20/2016] [Indexed: 10/21/2022]
Affiliation(s)
- Sujata Mohanty
- Professor and Head of Department, Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences, New Delhi, India.
| | - Jitender Dabas
- Senior Resident, Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Sunita Gupta
- Professor and Head of Department, Oral Medicine and Radiology, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Aadithya B Urs
- Professor and Head of Department, Oral Pathology, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Sanchaita Kohli
- Postgraduate Resident, Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Sandeep Yadav
- Postgraduate Resident, Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences, New Delhi, India
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14
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Mehendirratta M, Jain K, Kumra M, Manjunatha BS. Lipoma of mandibular buccal vestibule: a case with histopathological literature review. BMJ Case Rep 2016; 2016:bcr2016215586. [PMID: 27489068 PMCID: PMC4986158 DOI: 10.1136/bcr-2016-215586] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/19/2016] [Indexed: 11/03/2022] Open
Abstract
Lipoma is a tumour of soft tissue with rare occurrence in oral cavity accounting for only 1-4% of benign oral tumours. Most common sites of involvement are the buccal mucosa, tongue and floor of the mouth with typical presentation of an asymptomatic, soft, smooth-surfaced, nodular and yellowish mass. Histopathologically, a classical lipoma resembles normal adipose tissue and it has multiple variants which are less commonly seen except fibrolipoma. The article presents a case report of a relatively large oral classical lipoma in a 60-year-old man on a rare site, mandibular buccal vestibule, along with a review of the literature and special emphasis on its various histopathological variants.
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Affiliation(s)
- Monica Mehendirratta
- Department of Oral Pathology and Microbiology, ITS Dental College, Greater Noida, Uttar Pradesh, India
| | - Kanu Jain
- Department of Oral Pathology and Microbiology, ITS Dental College, Greater Noida, Uttar Pradesh, India
| | - Madhumani Kumra
- Department of Oral Pathology and Microbiology, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana, India
| | - Bhari Sharanesha Manjunatha
- Department of Basic Dental Sciences, Dental Anatomy & Oral Histology, College of Dentistry, Taif, Makkah, Saudi Arabia
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15
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Mehendirratta M, Jain K, Kumra M, Manjunatha BS. Lipoma of mandibular buccal vestibule: a case with histopathological literature review. BMJ Case Rep 2016. [PMID: 27489068 DOI: 10.1136/bcr-2016-215586.] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Lipoma is a tumour of soft tissue with rare occurrence in oral cavity accounting for only 1-4% of benign oral tumours. Most common sites of involvement are the buccal mucosa, tongue and floor of the mouth with typical presentation of an asymptomatic, soft, smooth-surfaced, nodular and yellowish mass. Histopathologically, a classical lipoma resembles normal adipose tissue and it has multiple variants which are less commonly seen except fibrolipoma. The article presents a case report of a relatively large oral classical lipoma in a 60-year-old man on a rare site, mandibular buccal vestibule, along with a review of the literature and special emphasis on its various histopathological variants.
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Affiliation(s)
- Monica Mehendirratta
- Department of Oral Pathology and Microbiology, ITS Dental College, Greater Noida, Uttar Pradesh, India
| | - Kanu Jain
- Department of Oral Pathology and Microbiology, ITS Dental College, Greater Noida, Uttar Pradesh, India
| | - Madhumani Kumra
- Department of Oral Pathology and Microbiology, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana, India
| | - Bhari Sharanesha Manjunatha
- Department of Basic Dental Sciences, Dental Anatomy & Oral Histology, College of Dentistry, Taif, Makkah, Saudi Arabia
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16
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Shin DW, Kim JE, Kim HS, Lee H. Jacob's disease: Report of a case. Cranio 2016; 35:58-63. [PMID: 27077256 DOI: 10.1080/08869634.2016.1163807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
PURPOSE Jacob's disease (JD) is an uncommon disorder that presents as pseudojoint formation between the enlarged mandibular coronoid process and the zygoma, resulting in mouth opening limitation (MOL). Intraosseous lipoma (IOL) usually presents in the long bone, but it is very rare in the mandible. The authors present a rare case of JD and coexisting IOL in the same anatomical area and discuss diagnosis and surgical intervention. CLINICAL PRESENTATION AND INTERVENTION The patient was a 39-year-old Korean female with MOL. Magnetic resonance imaging showed a large lobulated mass with fat-specific signal intensity. A combined extraoral and intraoral approach was used to resect the large mass. Histopathologic examination revealed a degenerated lipomatous tumor replacing the marrow cavity, with cartilaginous cap formation on the articular surface. CONCLUSION Postoperatively, the patient showed uneventful healing and resolution of MOL.
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Affiliation(s)
- Dong-Whan Shin
- a Department of Oral and Maxillofacial Surgery, Section of Dentistry , Seoul Metropolitan Government - Seoul National University Boramae Medical Center , Seoul , Republic of Korea
| | - Ji-Eun Kim
- b Department of Pathology , Seoul National University College of Medicine , Seoul , Republic of Korea
| | - Hee-Sun Kim
- c Department of Conservative Dentistry, Section of Dentistry , Seoul Metropolitan Government - Seoul National University Boramae Medical Center , Seoul , Republic of Korea
| | - Ho Lee
- a Department of Oral and Maxillofacial Surgery, Section of Dentistry , Seoul Metropolitan Government - Seoul National University Boramae Medical Center , Seoul , Republic of Korea
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17
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Castellani A, Bocchialini G, Ferrari L. A rare case of intraosseous fibrolipoma of the mandible: diagnosis and treatment. Case Rep Dent 2015; 2015:519824. [PMID: 25945266 PMCID: PMC4402163 DOI: 10.1155/2015/519824] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2015] [Revised: 03/18/2015] [Accepted: 03/25/2015] [Indexed: 12/28/2022] Open
Abstract
Lipomas are common soft tissue tumors. Intraosseous lipoma is a rare lesion that constitutes not more than 0.1% of bone tumors. It can occur anywhere in the body and there have only been a few cases found in the mandible. Intraosseous fibrolipoma of the jaw is an uncommon histological variant of the classic lipoma and to the best of our knowledge only one case has previously been reported in the literature. The cause of this lesion is uncertain. Clinically the lesion is generally asymptomatic and its radiographic feature is a well-defined radiolucency. Surgery is the treatment of choice. We present a case of an intraosseous fibrolipoma in the right mandibular ramus in a 25-year-old female.
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Affiliation(s)
- Andrea Castellani
- Department of Maxillo-Facial Surgery, Civil Hospital, 25123 Brescia, Italy
| | | | - Luca Ferrari
- Department of Maxillo-Facial Surgery, Civil Hospital, 25123 Brescia, Italy
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