Bastos Daniela Brito, Figueira Jéssica Araújo, Furuse Cristiane, Biasoli Éder Ricardo, Miyahara Glauco Issamu, Bernabé Daniel Galera
Oral Oncology Center, School of Dentistry, São Paulo State University (UNESP), Araçatuba, SP Department of Pathology and Clinical Propedeutics, School of Dentistry, São Paulo State University (UNESP), Araçatuba, SP.
Dermatol Online J. 2020 Jan 15;26(1):13030/qt6pt638vz.
Symmetric lipomatosis of the tongue (SLT) is rare and characterized by diffuse growth and unencapsulated lipomas. An 87-year-old man was referred for evaluation of tongue lesions. Intraoral findings showed soft yellowish nodules with a smooth shiny surface diffusely on the lateral border of the tongue, bilaterally. Our clinical diagnosis was multiple tongue lipomas and an incisional biopsy was done. Histopathological examination revealed unencapsulated lobules of mature adipocytes with slight variation in the size and shape, confirming the diagnosis of lipoma. The final diagnosis was SLT. On follow-up at 6 months, the tongue findings were unchanged and no new lesions were observed.
舌对称脂肪瘤病（SLT）较为罕见，其特征为弥漫性生长且无包膜的脂肪瘤。一名87岁男性因舌部病变前来评估。口腔检查发现双侧舌外侧缘弥漫性分布着表面光滑发亮的淡黄色柔软结节。我们的临床诊断为多发性舌脂肪瘤，并进行了切开活检。组织病理学检查显示成熟脂肪细胞的无包膜小叶，大小和形状略有差异，确诊为脂肪瘤。最终诊断为SLT。6个月随访时，舌部表现无变化，未观察到新病变。
