Oral lipoma in elderly saudi patient: a case report.

Rashad Ikram,Abdul Aziz Abdul Rehman Al-Eid

doi:10.12816/0005978

Abstract

Lipomas are relatively uncommon benign tumor occurring in the oral cavity with a prevalence rate of 1% to 4% of all oral lesions. They present as a slow growing, painless, asymptomatic submucosal mass and surgical excision is the treatment of choice. Oral lipomas have been known to grow to large sizes causing interference with speech, mastication and construction of denture. A case of 77 years old male patient with lipoma of buccal mucosa in oral cavity which exhibited a sudden growth after a lag time of 3 years with mastication and speech difficulties. The tumor excised in total with restoration of normal speech and mastication.

Highlights

Lipomas are benign mesenchymal neoplasms composed of mature adipocytes, usually surrounded by a thin fibrous capsule (Trandafir D et al, 2007)
Oral lipomas can occur in various sites but the most common sites are buccal mucosa, floor of the mouth, tongue,lip, palate and vestibule (Deepti S et al, 2005)
Oral cavity lipomas usually present as slow growing, painless and asymptomic lumps (Dattilo D J., 1996)

Summary

Introduction

Lipomas are benign mesenchymal neoplasms composed of mature adipocytes, usually surrounded by a thin fibrous capsule (Trandafir D et al, 2007). Case Report A 77 years old Saudi male reported to the oral and maxillo-facial surgery department of Buraidah Central Hospital, Qassim with a large intraoral soft and smooth mass of approximate size 5x4x2 cm in the right buccal sulcus which developed in last 3 years (Figure 1). It was painless and suddenly increased in size. The histopathological examination described circumscribed mass of mature fat cells with varying number of collagen strands interlacing through the lesion and supporting small blood vessels. The tumor cells are arranged in lobules with an intervening connective tissue stroma (Figure 7)

Discussion

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Conclusion