Yoshida Yu, Nakabayashi Motoki, Harada Yuusei, Shingu Takayuki, Takubo Kazuko
Division of Oral Surgery, Matsue Red Cross Hospital, Matsue 690-0886, Japan.
Division of Oral and Maxillofacial Biopathological Surgery, Department of Sensory and Motor Organs, School of Medicine, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan.
Yonago Acta Med. 2020 Aug 20;63(3):223-227. doi: 10.33160/yam.2020.08.008. eCollection 2020 Aug.
Herein, we report a case of atypical spindle cell lipomatous tumor (ASCLT) on both sides of the tongue in a 74-year-old male patient. The patient was referred to our department for treatment of the masses in the tongue. Several elastic soft indolent masses were detected during the first examination. The masses were well defined, and their consistency was similar to that of adipose tissues. No signs of induration were observed in the surrounding tissues. The patient was not aware of the masses, which were only detected during his visit at the dental clinic that referred him to our institution. Thus, the onset of the masses remains unknown. ASCLT was identified via histopathological examination. Then, tumor excision was performed under general anesthesia. Thirteen months after surgery, the condition of the patient was good, and signs of local recurrence or postoperative metastasis were not observed.
在此，我们报告一例74岁男性患者双侧舌部非典型梭形细胞脂肪瘤（ASCLT）的病例。该患者因舌部肿物前来我院治疗。首次检查时发现了几个质地弹性、柔软、无痛的肿物。肿物边界清晰，质地与脂肪组织相似。周围组织未观察到硬结迹象。患者此前未察觉到肿物，是在转诊至我院的牙科诊所就诊时才被发现。因此，肿物的发病时间尚不清楚。通过组织病理学检查确诊为ASCLT。随后，在全身麻醉下进行了肿瘤切除。术后13个月，患者状况良好，未观察到局部复发或术后转移迹象。
