Abstract

Congenital lipomas are very rare in the oral cavity. A 6-month-old girl was referred with a history of multiple lingual lesions that had been noted initially in the early neonatal period. The patient's general condition and family history were non-contributory. On oral examination, two lesions were recognized on the lateral border and ventral surface of the tongue, respectively. Both lesions had clearly demarcated borders, a soft tenderness, and a milky white color. Follow-up examinations were done under the clinical diagnosis of a benign tumor. There was no evidence of growth. At the age of 14 months, the two lesions were removed with the patient under general anesthesia. Pathological examination revealed multilobular growth of adipose tissue, composed mainly of mature adipocytes in the submucosal connective tissue and muscular layer. The histopathological diagnoses were fibrolipomas. There has been no recurrence as of 3 years after operation.

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