Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

Lipoma with Extraoral Swelling in the Labial Vestibule: Report of a Case

  • Cho, Ju-Yeon (Department of Dentistry, Dongsan Medical Center, Keimyung University School of Medicine) ;
  • Nam, Ki-Young (Department of Dentistry, Dongsan Medical Center, Keimyung University School of Medicine)
  • Received : 2012.05.25
  • Accepted : 2012.07.13
  • Published : 2012.07.31
Download PDF
⟨ Previous Next ⟩

Abstract

Lipoma is the most common benign neoplasm of the body with rare occurrence in the oral cavity. It represents 1~4% of benign neoplasms of the mouth, which affect the buccal mucosa, floor of the mouth, tongue and lips. We report a case of lipoma in the labial vestibule with extraoral swelling, which could easily be misdiagnosed as an odontogenic abscess. Excisional biopsy in this case revealed well-circumscribed masses, surrounded by a thin fibrous capsule and composed of sheets of mature adipocytes, arranged in a "chicken wire" configuration. After a computed tomography scan, excisoinal biopsy was done, and there were no recurrence after 5-month follow-up period.

Keywords

References

  1. Fregnani ER, Pires FR, Falzoni R, Lopes MA, Vargas PA. Lipomas of the oral cavity: clinical findings, histological classification and proliferative activity of 46 cases. Int J Oral Maxillofac Surg 2003;32:49-53. https://doi.org/10.1054/ijom.2002.0317
  2. Perri de Carvalho AC, Martinelli C, Sanches MG. Congenital lipoma in the oral cavity. A case report. Quintessence Int 1987;18:799-802.
  3. de Visscher JG. Lipomas and fibrolipomas of the oral cavity. J Maxillofac Surg 1982;10:177-81. https://doi.org/10.1016/S0301-0503(82)80036-2
  4. Flaitz CM. Lipoma of the buccal vestibule. Am J Dent 2000;13:52.
  5. Chen SY, Fantasia JE, Miller AS. Myxoid lipoma of oral soft tissue. A clinical and ultrastructural study. Oral Surg Oral Med Oral Pathol 1984;57:300-7. https://doi.org/10.1016/0030-4220(84)90186-5
  6. Furlong MA, Fanburg-smith JC, Childers EL. Lipoma of the oral and maxillofacial region: Site and subclassification of 125 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004;98:441-50. https://doi.org/10.1016/j.tripleo.2004.02.071
  7. Manor E, Sion-vardy N, Joshua BZ, Bodner L. Oral lipoma: analysis of 58 new cases and review of the literature. Ann Diagn Pathol 2011;15:257-61. https://doi.org/10.1016/j.anndiagpath.2011.01.003
  8. Tripp EA, Hartwell GR. Intraoral lipoma in the buccal vestibule. Gen Dent 1985;33:514-5.
  9. Quinn JH. Lipoma of the oral labial vestibule. Oral Surg Oral Med Oral Pathol 1949;2:723-5. https://doi.org/10.1016/0030-4220(49)90104-8
  10. Suh DW, Kim JY, Cho SW, et al. A lipoma of the mouth floor : A case report. J Korean Assoc Oral Maxillofac Surg 2009;35:41-4.
  11. Hatziotis JC. Lipoma of the oral cavity. Oral Surg Oral Med Oral Pathol 1971;31:511-24. https://doi.org/10.1016/0030-4220(71)90348-3
  12. Rapidis AD. Lipoma of the oral cavity. Int J Oral Surg 1982;11:30-5. https://doi.org/10.1016/S0300-9785(82)80045-8
  13. Macgregor AJ, Dyson DP. Oral lipoma. A review of the literature and report of twelve new cases. Oral Surg Oral Med Oral Pathol 1966;21:770-7. https://doi.org/10.1016/0030-4220(66)90100-9
  14. Turner H. Lipoma of the lip; report of a case. Oral Surg Oral Med Oral Pathol 1956;9:376-9. https://doi.org/10.1016/0030-4220(56)90026-3
  15. Brooks JK, Scheper MA, Schwartz KG, Nikitakis NG. Oral lipoma: report of three cases. Gen Dent 2008;56:172-6.
  16. Solvonuk PF, Taylor GP, Hancock R, Wood WS, Frohlich J. Correlation of morphologic and biochemical observations in human lipomas. Lab Invest 1984;51:469-74.