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Bilateral asymmetric tongue classic lipomas
Sang-Hwa Lee1, Hyun-Joong Yoon
1Department of Oral and Maxillofacial Surgery, Yeouido St. Mary's Hospital, Catholic University of Korea, Seoul, South Korea.
Summary
This report details a rare case of bilateral classic lipomas in the tongue, a common benign tumor typically found elsewhere. Surgical removal confirmed the lipomas, highlighting the need for broader differential diagnoses in oral medicine.
Area of Science:
- Oral and Maxillofacial Surgery
- Pathology
- Radiology
Background:
- Lipomas, benign neoplasms of mature adipocytes, are uncommon in the oral and maxillofacial regions.
- Intraoral lipomas typically present as solitary lesions.
Observation:
- A 71-year-old male presented with asymmetric soft tissue nodules on both lateral borders of the tongue.
- Magnetic resonance imaging revealed lesions with signal characteristics similar to subcutaneous fat, becoming hypointense on fat-suppressed T1 imaging.
Findings:
- Surgical resection and histopathologic examination confirmed the presence of bilateral classic lipomas.
- The tumors were composed entirely of mature adipocytes, consistent with lipoma diagnosis.
Implications:
- This case underscores the importance of considering multiple classic lipomas in the differential diagnosis of intraoral lipomatous nodules.
- It challenges the typical presentation of lipomas and expands the understanding of their occurrence in the oral cavity.
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