Large Sublingual Lipoma: A Case Report.

Area of Science:

• Oral and Maxillofacial Surgery
• Pathology
• Oncology

Background:

• Lipomas are common benign soft tissue tumors.
• Oral lipomas are rare, with floor of mouth lipomas being exceptionally infrequent.
• Symptomatic lipomas are typically related to mass effect from size or location.

Purpose of the Study:

• To report a rare case of a large lipoma in the anterior floor of the mouth.
• To discuss the clinical presentation, diagnostic evaluation, and surgical management of oral lipomas.
• To emphasize the importance of careful surgical planning for floor of mouth masses.

Main Methods:

• Case report of a 65-year-old male with an enlarging floor of mouth mass.
• Computed tomography (CT) for preoperative evaluation.
• Surgical excision and postoperative follow-up.

Main Results:

• A large, asymptomatic hypolucent mass was identified in the anterior floor of the mouth.
• Uncomplicated surgical excision was performed.
• The patient experienced successful wound healing without neurological or ductal compromise.

Conclusions:

• Floor of mouth lipomas are rare but should be considered in the differential diagnosis of oral masses.
• Multimodality imaging, such as CT, is crucial for preoperative assessment.
• Complete surgical excision is the standard treatment, with careful attention to vital structures.