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      Intraoral Lipoma: A Case Report

      case-report

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          Abstract

          Lipomas are rare in oral and maxillofacial regions although they are the most common tumours of mesenchymal origin in human body. The etiology remains unclear. Various different theories explain the pathogenesis of this adipose tissue tumour and also different histological variants of oral lipoma have been given in literature. A case of intraoral lipoma occurring in mental region in a 77-year-old male is reported along with review of the literature. Wide surgical excision was performed and two-year followup showed excellent healing without any recurrence. Lipomas are benign soft tissue neoplasm of mature adipose tissue seen as a common entity in the head and neck region. Intraoral lipomas are a rare entity which may be noticed only during routine dental examinations. Most of them rarely cause pain, resulting in delay to seek treatment. It is mandatory for a clinician to diagnose intraoral lipomas using latest diagnostic methods and conservatively treat them without causing much discomfort.

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          Most cited references22

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          Lipomas of the oral cavity: clinical findings, histological classification and proliferative activity of 46 cases.

          Lipomas represent about 1 to 5% of all neoplasms of the oral cavity. Although relatively common, few large series of intraoral lipomas and its variants are seen in the literature. Therefore, the authors present the clinical, histological and immunohistochemical features of 46 cases of intraoral lipomas reviewed from the files of the University of Campinas Dental School from 1970 to 2001. Most of the cases affected adults, without gender predilection, and the main involved sites were the buccal mucosa (21 cases), tongue (six cases), lips (six cases) and floor of mouth (five cases). The histological analysis revealed 21 cases of lipoma, 18 fibrolipomas, four intramuscular lipomas, two minor salivary gland lipomas and one spindle cell lipoma. PCNA and ki-67 expression indexes were higher in spindle cell lipoma, intramuscular lipomas and fibrolipomas compared to common lipomas, but the differences were not statistically significant. All lesions were removed surgically and none showed recurrence, regardless of the various proliferative activities.
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            Two entities in angiolipoma. A study of 459 cases of lipoma with review of literature on infiltrating angiolipoma.

            Chin Lin, F Lin (1974)
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              Lipoma of the oral and maxillofacial region: Site and subclassification of 125 cases

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                Author and article information

                Journal
                Case Rep Med
                Case Rep Med
                CRIM.MEDICINE
                Case Reports in Medicine
                Hindawi Publishing Corporation
                1687-9627
                1687-9635
                2014
                30 January 2014
                : 2014
                : 480130
                Affiliations
                Department of Oral & Maxillofacial Surgery, PMS College of Dental Science & Research, Golden Hills, Vattappara, Venkode, Thiruvananthapuram 695028, India
                Author notes
                *P. Varun Menon: varunmp@ 123456gmail.com

                Academic Editor: David W. Eisele

                Article
                10.1155/2014/480130
                3926394
                24592278
                0e8f4b1d-46f1-4068-a675-7eecc268f968
                Copyright © 2014 L. K. Surej Kumar et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 13 September 2013
                : 19 December 2013
                Categories
                Case Report

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