Yoon Yeong-Ah, Kwon Young-Eun, Choi So-Young, Choi Karp-Shik, An Chang-Hyeon, An Seo-Young
Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyungpook National University, Daegu, Korea.
Doctor of Dental Clinic, 7 Promise Dental Clinic, Daegu, Korea.
Imaging Sci Dent. 2022 Mar;52(1):117-121. doi: 10.5624/isd.20210140. Epub 2021 Nov 18.
This report presents the case of a 49-year-old man who presented with giant masses that had recently grown on the bilateral sides of the tongue. A clinical examination revealed rubbery yellowish lesions protruding from the tongue. A panoramic radiograph showed an enlarged soft tissue shadow of the tongue. Computed tomography showed well-defined circumscribed mass exhibiting a homogeneous low density on the bilateral sides of the tongue. On magnetic resonance images, the masses showed a high signal intensity on T1-weighted images and iso-signal intensity with partially hyperintense margin on fat-suppressed T2-weighted images. Surgical excision was performed, and a histopathologic examination confirmed the diagnosis of lipoma. The patient recovered well with no sign of recurrence. A giant lipoma is defined as a lipoma larger than 5 cm in diameter. A literature review of giant lipomas of the tongue is also presented herein.
本报告介绍了一名49岁男性患者的病例，该患者双侧舌部近期出现巨大肿物。临床检查发现舌部有橡皮样淡黄色肿物突出。全景X线片显示舌部软组织阴影增大。计算机断层扫描显示舌部双侧有边界清晰的肿块，呈均匀低密度。在磁共振图像上，肿块在T1加权图像上呈高信号强度，在脂肪抑制T2加权图像上呈等信号强度，边缘部分呈高信号强度。进行了手术切除，组织病理学检查确诊为脂肪瘤。患者恢复良好，无复发迹象。巨大脂肪瘤定义为直径大于5 cm的脂肪瘤。本文还对舌部巨大脂肪瘤的文献进行了综述。
