Fibrolipoma of the Floor of the Mouth and Submandibular Space: A Rare Clinical Entity
International Journal of Clinical Oral and Maxillofacial Surgery
Volume 5, Issue 1, June 2019, Pages: 10-13
Received: Jun. 26, 2018;
Accepted: Mar. 14, 2019;
Published: Apr. 8, 2019
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Aliyu Daniel, Department of Ear, Nose and Throat, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
Sahabi Saddiku Malam, Department of Histopathology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
Zubairu Musa Yauri, Department of Otorhinolaryngology, Sir Yahaya Specialist Hospital, Birnin Kebbi, Nigeria
Adeyeye Foluso Mercy, Department of Ear, Nose and Throat, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
Lipoma is a benign soft tissue tumour of mature adepose tissue and are observed as slow growing, painless, and asymptomatic masses. Occurrance in the submandibular space is relatively rare. We report a case of an unusually huge and plunging fibrolipoma of the floor of the mouth and submandibular space. We report a 52 years old housewife with complaint of progressive painless swelling of the floor of the mouth and submandibular space with interference to speech and mastication for 3years. Clinical examination revealed an 8cm mobile lobulated mass in the floor of the mouth and plunging into the left submandibular space with no ulceration or signs of inflammation on the overlaying mucosa. A needle aspirate of the mass yielded no fluid. Ultrasonography revealed a lobulated extra-oral mass. The lesion was subsequently excised under general anesthesia and histopathological analysis of the tissue showed lobules of mature adipocytes admixed with fibrous tissues, which confirmed the diagnosis. Fibrolipoma of the floor of the mouth and submandibular space is an uncommon tumour with good prognosis. Complete surgical excision is the treatment of choice. Histopathological examination of the tissue must be performed to confirm diagnosis.
Sahabi Saddiku Malam,
Zubairu Musa Yauri,
Adeyeye Foluso Mercy,
Fibrolipoma of the Floor of the Mouth and Submandibular Space: A Rare Clinical Entity, International Journal of Clinical Oral and Maxillofacial Surgery.
Vol. 5, No. 1,
2019, pp. 10-13.
Furlong MA, Fanburg-Smith JC, Childers EL. Lipoma of the oral and maxillofacial region: Site and subclassification of 125 cases. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2004 Oct 31; 98(4): 441-450.
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. International journal of oral and maxillofacial surgery. 2003 Feb 1; 32(1): 49-53.
Vinod SV, George A, Thomas N, Paulose DE, Joy A. Oral lipoma: Report of two cases with different clinical appearance and review. Journal of Dental and Medical Sciences. 2016; 15(3):120- 124.
Trandafir D, Gogălniceanu D, Trandafir V, Căruntu ID. Lipomas of the oral cavity--a retrospective study. Revista medico-chirurgicala a Societatii de Medici si Naturalisti din Iasi. 2007; 111(3): 754.
Woolgar JA, Hall GL. Benign tumours of the mouth and jaw. Stell & Maran's Textbook of Head and Neck Surgery and Oncology. 2011 Dec 30: 239.
Vadvadgi VH, Saini R. Oral Fibrolipoma of Oral Cavity. International Journal of Experimental Dental Science. 2014 Jul 1; 3(2): 106.
Iwase M, Saida N, Tanaka Y. Fibrolipoma of the buccal mucosa: A case report and review of the literature. Case Reports in Pathology. 2016; 4:1-4.
Pereira T, Shetty S, Sapdhare S, Tamgadge A. Oral fibrolipoma: a rare histological variant. Indian Journal of Dental Research. 2014 Sep 1; 25(5): 672.
Ghanchi M, Bhakar V, Saxena K, Jani D. Fibrolipoma of the oral mucosa: A review of literature. Sch. J. Dent. Sci. 2016; 3(9): 269-271.
Giorgio I, Marco F, Atirge C Antonio R, Giovanni DO, Luigi C. Rare fibrolipoma of the tongue: A case report. Journal of Medical Case Reports. 2015; 9:177-181.
Gupta S, Pathak S. Fibrolipoma of buccal mucosa-a case report. J Indian Dent Assoc. 2011; 5: 737-738.
Rehani S, Bishen KA. Intraoral fibrolipoma-a case report with review of literature. IJDA. 2010 Apr 1; 2(2): 215-216.
Roux M. On exostoses: there character. Am J Dent Sci. 1848; 9:133-4.
Manjunatha BS, Pateel GD, Shah V. Oral fibrolipoma-a rare histological entity: report of 3 cases and review of literature. Journal of dentistry (Tehran, Iran). 2010; 7(4):226.
Janas A, Grzesiak-Janas G. The rare occurence of fibrolipomas. Otolaryngologia polska= The Polish otolaryngology. 2005; 59(6):895-8.
De Freitas MA, Freitas VS, de Lima AA, Bastos Pereira J, Nunes dos Santos J. Intraoral lipomas: A study of 26 cases in a Brazilian population. Quintessence International. 2009 Jan 1; 40(1).
Rajeev R, Beena VT, Indu G, Choudhary K, Devu A. Fibrolipoma of floor of the mouth of 20 years of duration. Clinical Cancer Investigation Journal. 2014 Sep 1; 3(5):394.
Khubchandani M, Thosar NR, Bahadure RN, Baliga MS, Gaikwad RN. Fibrolipoma of buccal mucosa. Contemporary clinical dentistry. 2012 Apr; 3(Suppl1): S112.
Rimmer J, Singh A, Irving C, Archer DJ, Evans PR. Asymptomatic oropharyngeal lipoma complicating intubation. The Journal of Laryngology & Otology. 2005 Jun; 119(6):483-5.
Chikui T, Yonetsu K, Yoshiura K, Miwa K, Kanda S, Ozeki S, Shinohara M. Imaging findings of lipomas in the orofacial region with CT, US, and MRI. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 1997 Jul 1; 84(1):88-95.
Bajpai M, Chandolia B, Arora M. Angiomyxolipoma of tongue. J Coll Physicians Surg Pak. 2017; 27(4):252-253.
Woolgar JA, Hall GL Benign Tumours of the Mouth and Jaw. In: Stell and Maran`s textbook of Head and Neck Surgery and Oncology (Watkinson JC, Gilbert RW, editors). 5th edition, Hodder and Stoughton, UK. 2012, 239-55.
D’Antonio A, Locatelli G, Liguori G, Addesso M. Pleomorphic lipoma of the tongue as potential mimic of liposarcoma. J Cutan Aesthet Surg. 2013; 6:51–3. Doi: 10.4103/0974-2077.110101.