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舌脂肪瘤引起的罕见并发症。

Unusual complications caused by lipoma of the tongue.

作者信息

Cocca Serena, Viviano Massimo, Parrini Stefano

机构信息

Department of Medicine, Surgery and Neurosciences, ENT Clinic, Siena, Italy.

Department of Dentistry, University of Siena, Siena, Italy.

出版信息

J Korean Assoc Oral Maxillofac Surg. 2017 Dec;43(Suppl 1):S6-S8. doi: 10.5125/jkaoms.2017.43.S1.S6. Epub 2017 Dec 27.

DOI:10.5125/jkaoms.2017.43.S1.S6
PMID:29354591
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5770474/
Abstract

Lipoma is the most common, benign, soft tissue, mesenchymal tumour and is composed of mature adipose tissue. It is infrequent in the oral cavity (approximately 0.3% of all tongue neoplasias). We describe the case of a 68-year-old man with a swelling at the tongue edge and tongue dysesthesia. Medical history, clinical assessment, radiographic images, and cytological analysis enabled specialists to classify this neoplasia as a lipoma. The patient recovered fully after surgical excision of the affected area, and the neuralgic symptoms regressed. Surgical excision is an elective treatment; however, accurate differential diagnosis, histological examination, and follow-up are required.

摘要

脂肪瘤是最常见的良性软组织间叶肿瘤,由成熟脂肪组织构成。它在口腔中较为少见(约占所有舌部肿瘤的0.3%)。我们描述了一名68岁男性患者,其舌缘有肿胀且伴有舌感觉异常。通过病史、临床评估、影像学检查和细胞学分析,专家将该肿瘤归类为脂肪瘤。患者在手术切除患区后完全康复,神经痛症状也消退了。手术切除是一种选择性治疗方法;然而,需要进行准确的鉴别诊断、组织学检查和随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3104/5770474/3d2dd045f489/jkaoms-43-S6-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3104/5770474/5016efc1a45e/jkaoms-43-S6-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3104/5770474/6467afe4f8e8/jkaoms-43-S6-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3104/5770474/3d2dd045f489/jkaoms-43-S6-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3104/5770474/5016efc1a45e/jkaoms-43-S6-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3104/5770474/6467afe4f8e8/jkaoms-43-S6-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3104/5770474/3d2dd045f489/jkaoms-43-S6-g003.jpg

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本文引用的文献

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Intraoral lipomas: Review of literature and report of two clinical cases.口腔内脂肪瘤:文献综述及两例临床病例报告
J Clin Exp Dent. 2016 Dec 1;8(5):e597-e603. doi: 10.4317/jced.52926. eCollection 2016 Dec.
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Rare fibrolipoma of the tongue: a case report.舌部罕见纤维脂肪瘤:一例报告
J Med Case Rep. 2015 Aug 21;9:177. doi: 10.1186/s13256-015-0653-1.
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Lipomas of oral cavity: case reports with review of literature.口腔脂肪瘤:病例报告及文献综述
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Intraoral lipoma: an atypical case.口腔内脂肪瘤:1例非典型病例。
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Int J Oral Sci. 2011 Jan;3(1):43-6. doi: 10.4248/IJOS11008.
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Lipoma in oral mucosa: two case reports.口腔黏膜脂肪瘤:两例报告
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Sialolipoma in minor salivary gland: case report and review of the literature.小唾液腺涎脂瘤:病例报告及文献复习
Head Neck Pathol. 2010 Sep;4(3):249-52. doi: 10.1007/s12105-010-0187-1. Epub 2010 Jun 19.
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Oral lipomas in a Brazilian population: a 10-year study and analysis of 450 cases reported in the literature.巴西人群中的口腔脂肪瘤:10 年研究及对文献中报道的 450 例病例的分析。
Med Oral Patol Oral Cir Bucal. 2010 Sep 1;15(5):e691-6. doi: 10.4317/medoral.15.e691.