Background: Tongue is an exceptional site of lipoma, a yet very common tumor. Aim: To improve awareness in tongue lipoma diagnosis and treatment approaches through a report of 2 cases and a review of literature. Case ...Background: Tongue is an exceptional site of lipoma, a yet very common tumor. Aim: To improve awareness in tongue lipoma diagnosis and treatment approaches through a report of 2 cases and a review of literature. Case Report: A 57-year female patient presented with a large and long-standing mass of 10 years of duration of the base of the tongue, difficulties in feeding and speaking. Another patient of 33 years old presented with an asymptomatic swelling of the left side of the mobile tongue. The two patients had no remarkable medical history and their clinical examination was otherwise unremarkable. In all the two masses, macroscopic examination of the surgical specimen showed an elastic consistency and a yellowish cut surface. Microscopically, matures adipocytes in an abundant fibrous connective tissue were noted in one of the specimen and fibrolipoma was diagnosed. In the other one, matures adipocytes were noted and its patient was diagnosed as having lipoma. Discussion: Tongue lipoma diagnosis, clinically challenging, is easily suspected at macroscopic examination of surgical specimen of a tongue mass. Treatment should favor as possible as a non-mutilating approach given the benign character and the classical low propensity for recurrence of the tumor.展开更多
文摘Background: Tongue is an exceptional site of lipoma, a yet very common tumor. Aim: To improve awareness in tongue lipoma diagnosis and treatment approaches through a report of 2 cases and a review of literature. Case Report: A 57-year female patient presented with a large and long-standing mass of 10 years of duration of the base of the tongue, difficulties in feeding and speaking. Another patient of 33 years old presented with an asymptomatic swelling of the left side of the mobile tongue. The two patients had no remarkable medical history and their clinical examination was otherwise unremarkable. In all the two masses, macroscopic examination of the surgical specimen showed an elastic consistency and a yellowish cut surface. Microscopically, matures adipocytes in an abundant fibrous connective tissue were noted in one of the specimen and fibrolipoma was diagnosed. In the other one, matures adipocytes were noted and its patient was diagnosed as having lipoma. Discussion: Tongue lipoma diagnosis, clinically challenging, is easily suspected at macroscopic examination of surgical specimen of a tongue mass. Treatment should favor as possible as a non-mutilating approach given the benign character and the classical low propensity for recurrence of the tumor.
