Sakamoto Yuki, Oyama Gohei
Departments of Oral Surgery, Hospital of Hironokogen, 6512215, Japan.
Case Rep Dent. 2020 Oct 30;2020:8824548. doi: 10.1155/2020/8824548. eCollection 2020.
A lipoma is a benign tumor, where the parenchyma is composed of adipose tissue. Lipomas comprise 0.1%-5% of all benign tumors in the oral cavity. A 43-year-old man, with a known masticatory disorder, visited the Department of Oral Surgery at our hospital because of a facial swelling. The swelling, which had worsened over 15 years, was not painful, but the patient had discomfort while eating and talking. A detailed examination revealed a smooth, elastic, soft, circular, and yellowish pink pedunculated tumor-like lesion, with a diameter of approximately 40 mm, on the right buccal mucosa. An oval-shaped neoplastic lesion with a well-defined border of 40 mm × 20 mm was noted on MRI. Based on these results, the lesion was characterized as being a benign lipoma. The tumor was resected under local anesthesia. The pedunculated tumor was excised with an electric knife, and the wound was sutured. No trismus or paresthesia was noted on the postoperative follow-up.
脂肪瘤是一种良性肿瘤,其实质由脂肪组织构成。脂肪瘤占口腔所有良性肿瘤的0.1%-5%。一名43岁男性,已知患有咀嚼障碍,因面部肿胀前来我院口腔外科就诊。肿胀已持续15年且逐渐加重,无疼痛,但患者在进食和说话时有不适感。详细检查发现右侧颊黏膜有一个光滑、有弹性、柔软、圆形、淡黄粉色的带蒂肿瘤样病变,直径约40毫米。MRI显示一个边界清晰的椭圆形肿瘤性病变,大小为40毫米×20毫米。基于这些结果,该病变被诊断为良性脂肪瘤。肿瘤在局部麻醉下切除。用电动刀切除带蒂肿瘤,然后缝合伤口。术后随访未发现牙关紧闭或感觉异常。