Toida Makoto, Hayashi Itsuki, Yamaguchi Aina, Naiki Hironobu
Department of Oral and Maxillofacial Surgery, Sugita Genpaku Memorial Obama Public Hospital, Obama, JPN.
Department of Oral and Maxillofacial Surgery, Gifu University, Gifu, JPN.
Cureus. 2024 Jul 26;16(7):e65430. doi: 10.7759/cureus.65430. eCollection 2024 Jul.
Oral elastofibromatous lesions (OEFLs) are rare benign tumor-like lesions of the oral cavity, which are characterized by marked hyperplasia of elastic fibers. A case of OEFL on the tip of the tongue of an 83-year-old male is presented. The lesion was a painless, yellowish-white, smooth-surfaced, elastic-soft, well-demarcated, slightly flattened, round plaque-like mucosal lesion, measuring about 4 x 3 mm. The lesion was excised under local anesthesia with the clinical diagnosis of an irritation fibroma and a benign tumor including a lipoma, and diagnosed histopathologically as an OEFL. Four years and nine months after the surgery, no abnormality was observed at the surgical site, and there were no signs of recurrence. In addition to a report of the case, the clinical and histopathological features of 14 similar cases reported in the English literature were reviewed.
口腔弹性纤维瘤样病变(OEFLs)是口腔中罕见的良性肿瘤样病变,其特征为弹性纤维显著增生。本文报告一例83岁男性舌尖部的OEFL。病变为无痛性、黄白色、表面光滑、质地柔软有弹性、边界清晰、略扁平的圆形斑块状黏膜病变,大小约4×3mm。该病变在局部麻醉下切除,临床诊断为刺激性纤维瘤及包括脂肪瘤在内的良性肿瘤,组织病理学诊断为OEFL。术后四年零九个月,手术部位未观察到异常,也无复发迹象。除该病例报告外,还对英文文献中报道的14例类似病例的临床和组织病理学特征进行了回顾。