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Oral liposarcoma in elderly: Case report and literature analysis
Keiichi Ohta1, Hitoshi Yoshimura1, Shinpei Matsuda1
1Department of Dentistry and Oral Surgery, Unit of Sensory and Locomotor Medicine, Division of Medicine, Faculty of Medical Sciences.
Medicine
|February 7, 2020
Summary
Oral liposarcoma, a rare tumor, is often misdiagnosed as benign lipoma due to its slow growth. This case highlights the importance of considering malignancy in asymptomatic oral masses.
Area of Science:
- Oral pathology
- Surgical oncology
- Diagnostic imaging
Background:
- Oral liposarcoma is exceptionally rare and frequently misdiagnosed as benign due to its asymptomatic and indolent nature.
- Atypical lipomatous tumor/well-differentiated liposarcoma (ALT/WDL) presents a diagnostic challenge in the oral cavity.
Observation:
- A 97-year-old female presented with an asymptomatic buccal mucosa mass.
- Magnetic resonance imaging suggested a lipoma, leading to a provisional diagnosis of a benign lesion.
Findings:
- Histopathological examination after surgical excision confirmed the diagnosis of ALT/WDL.
- The patient, due to advanced age, declined further treatment.
Implications:
- The subtle presentation of oral liposarcoma necessitates high clinical suspicion for accurate diagnosis.
- Early detection and appropriate management are crucial for improving outcomes in rare oral malignancies.

