Abstract
Lipomas are adipose mesenchymal neoplasms. The oral cavity is not commonly affected. representing about0.5% to 5% of all benign oral tumors. The clinical presentation is typically as an asymptomatic yellowish mass.The overlying epithelium is intact and superficial blood vessels are usually evident over the tumour. Although benign in nature their progressive growth may cause interference with speech and mastication due to tumour’s dimension. The present report shows the case of a 52-year old male who presented with a large intraoral lipoma with extension to the right submandibular region.
 Bangladesh J Otorhinolaryngol; April 2016; 22(1): 58-61
Highlights
Lipoma, a common soft tissue tumor is a slow-growing benign mesenchymal neoplasm composed of mature adipocytes surrounded by a thin capsule.1Around 50% of the lesions are found in the cheeks and the remaining under the tongue, floor of mouth, palate, gingiva, and lips.2They have no gender predilection but some studies have shown male predominance. 3,4,5They usually occur in the 4th-5th decade of life
Oral lipomas can occur in various anatomic sites including the major salivary glands, buccal mucosa, lip, tongue, palate, vestibule and floor of mouth.8,9The present report shows the case of a 52-year old male who presented with a large intraoral lipoma with extension to the submandibular region
USG revealed a soft tissue mass in the floor of the mouth extended to the right submandibular region
Summary
A common soft tissue tumor is a slow-growing benign mesenchymal neoplasm composed of mature adipocytes surrounded by a thin capsule.1Around 50% of the lesions are found in the cheeks and the remaining under the tongue, floor of mouth, palate, gingiva, and lips.2They have no gender predilection but some studies have shown male predominance. 3,4,5They usually occur in the 4th-5th decade of life. 3. Senior Consultant (ENT), 250 Bed General Hospital, Chittagong. 4. Junior Consultant (ENT), 250 Bed General Hospital, Chittagong. The swelling increased gradually and extended to the right submandibular region for last one year. The swelling was painless and slow growing It gradually impaired the movement of the tongue speech and deglutition. It crossed the midline and extended from whole anterior part of floor of mouth to right lower last molar tooth. In the neck the swelling occupied right submental and submandibular region. USG revealed a soft tissue mass in the floor of the mouth extended to the right submandibular region. Histopathological examination of the mass revealed lipoma
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