Abstract

The clinical appearance of the submucous oral lipoma is described with reference to 10 cases. In differential diagnosis one must consider: the rare congenital or acquired lipomatoid mass; the soft fibroma; the soft irritation fibroma; the enlargement of Bichat's fat-ball in children; Recklingshausen's disease. The histopathology of lipomas as well as the microscopic characteristics of normal adipose tissue are considered. It is pointed out that in adults, also in cachectic situations, fat is present immediately under the buccal mucous membrane. From a microscopic point of view lipomas can be differentiated in true lipomas, fibrolipomas and lipofibromas, dependent on the ratio: fat—connective tissue. The genesis and way of growth of lipomas remain still obscure; notably, no mitoses or lipoblasts to demonstrate growth are seen in our cases. Our findings for the most part agree with those of other authors.

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