Epivatianos A, Markopoulos A K, Papanayotou P
Aristotle University of Thessaloniki, School of Dentistry, Department of Oral Medicine/Pathology, Greece.
J Oral Maxillofac Surg. 2000 Oct;58(10):1113-7; discussion 1118. doi: 10.1053/joms.2000.9568.
The purpose of this study was to determine the clinical and histologic features of 9 simple lipomas, 2 fibrolipomas, and 2 infiltrating lipomas of the oral cavity. In addition, 10 cases of infiltrating lipoma of the oral cavity previously reported in the literature were reviewed.
All cases were retrieved from the archives of the Department of Oral Medicine/Pathology of the University of Thessaloniki, Greece. Data on age, sex, location, clinical appearance, duration, recurrence, and histologic appearance were evaluated.
This study showed that the sex distribution of the simple lipomas was approximately equal, and the mean age of patients was 60.2 years. The buccal mucosa was the most frequent location of the tumors. Their size ranged from 0.2 to 1.5 cm, with an average rate 0.8 cm. In 3 cases, the tumor was not encapsulated. The sex distribution of the infiltrating lipomas was equal, and the mean age of the patients was 36.8 years. The most frequent location was the tongue.
Tumors of adipose tissue represent rare neoplasms of the oral cavity. The diagnosis is based on both the clinical and histologic characteristics. Caution is required during their surgical excision to avoid recurrence, especially with infiltrating lipomas.
本研究旨在确定9例口腔单纯性脂肪瘤、2例纤维脂肪瘤和2例浸润性脂肪瘤的临床及组织学特征。此外，还对文献中先前报道的10例口腔浸润性脂肪瘤病例进行了回顾。
所有病例均取自希腊塞萨洛尼基大学口腔医学/病理学系的档案。对年龄、性别、部位、临床表现、病程、复发情况及组织学表现等数据进行评估。
本研究表明，单纯性脂肪瘤的性别分布大致相等，患者的平均年龄为60.2岁。颊黏膜是肿瘤最常见的部位。其大小范围为0.2至1.5厘米，平均大小为0.8厘米。3例肿瘤无包膜。浸润性脂肪瘤的性别分布相等，患者的平均年龄为36.8岁。最常见的部位是舌部。
脂肪组织肿瘤是口腔罕见的肿瘤。诊断基于临床和组织学特征。手术切除时需谨慎，以避免复发，尤其是浸润性脂肪瘤。
