Hemavathy S, Roy Swati, Kiresur Asif
Department of Oral and Maxillofacial Pathology, Government Dental College and Research Institute, Fort, Bangalore, Karnataka, India.
J Oral Maxillofac Pathol. 2012 May;16(2):283-7. doi: 10.4103/0973-029X.99091.
Lipoma is a common soft-tissue tumor. There are only very few reported cases of intraosseous lipoma of the jaws in the literature. Intraosseous angiolipomas are even rarer. The exact nature of these lesions is debatable, but it is widely accepted that they represent true benign tumors. These are slow-growing tumor consisting of a mass of mature fat cells. When the vascular component within these tumors is a prominent feature, they are considered to be angiolipomas. The cause of these lesions is uncertain. Clinically, intraosseous lipoma may be asymptomatic, may cause swelling, or may show neurologic signs such as hypesthesia or paresthesia, as was manifested in this case. Radiographically, the lesion usually appears as a well-circumscribed radiolucency. The diagnosis of intraosseous lipoma of the mandible may be a challenge, due to its rarity and clinical similarity with many other radiolucent jaw lesions; therefore, the histopathological examination is always required. Here, we report a case of intraosseous angiolipoma of mandible in a 21-year-old female patient.
脂肪瘤是一种常见的软组织肿瘤。文献中报道的颌骨骨内脂肪瘤病例非常少。骨内血管脂肪瘤甚至更为罕见。这些病变的确切性质存在争议,但人们普遍认为它们是真正的良性肿瘤。这些是由大量成熟脂肪细胞组成的生长缓慢的肿瘤。当这些肿瘤内的血管成分是一个突出特征时,它们被认为是血管脂肪瘤。这些病变的病因尚不确定。临床上,骨内脂肪瘤可能无症状,可能引起肿胀,或可能表现出如感觉减退或感觉异常等神经症状,本病例即如此。在影像学上,病变通常表现为边界清晰的透光区。由于下颌骨骨内脂肪瘤罕见且与许多其他颌骨透光性病变在临床上相似,其诊断可能具有挑战性;因此,总是需要进行组织病理学检查。在此,我们报告一例21岁女性患者的下颌骨骨内血管脂肪瘤病例。