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Lingual Fibrolipoma - A rare clinicopathological entity
S Mungul1, S Maharaj2, S D Masege3
1Department of Otorhinolaryngology, Helen Joseph Hospital, University of the Witwatersrand.
South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
|September 7, 2017
Summary
A rare fibrolipoma, a benign tumor of adipose tissue, presented as a tongue mass in an elderly patient. Surgical excision is the primary treatment, though its fibrous nature can mimic malignancy.
Area of Science:
- Oral Pathology
- Surgical Oncology
- Dermatopathology
Background:
- Lipomas are common benign tumors of adipose tissue.
- Oral lipomas are rare due to limited adipose tissue in the oral cavity.
- Fibrolipoma of the tongue is an exceptionally rare variant, with limited documented cases.
Observation:
- An 85-year-old patient presented with a painless, slow-growing tongue mass.
- The mass interfered with mastication and deglutition.
- No risk factors for malignancy or relevant family history were noted.
Findings:
- Intraoperative assessment suggested local infiltration.
- Histopathological examination confirmed a benign fibrolipoma.
- The lesion's fibrous and adherent characteristics posed surgical challenges.
Implications:
- This case highlights the rarity of lingual fibrolipomas.
- Surgical challenges due to adherence can lead to misdiagnosis as malignancy.
- Accurate histopathological diagnosis is crucial for appropriate management.
