Fibrolipoma of the Floor of the Mouth and Submandibular Space: A Rare Clinical Entity

A. Daniel, Sahabi Saddiku Malam, Zubairu Musa Yauri, Adeyeye Mercy
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Abstract

Lipoma is a benign soft tissue tumour of mature adepose tissue and are observed as slow growing, painless, and asymptomatic masses. Occurrance in the submandibular space is relatively rare. We report a case of an unusually huge and plunging fibrolipoma of the floor of the mouth and submandibular space. We report a 52 years old housewife with complaint of progressive painless swelling of the floor of the mouth and submandibular space with interference to speech and mastication for 3years. Clinical examination revealed an 8cm mobile lobulated mass in the floor of the mouth and plunging into the left submandibular space with no ulceration or signs of inflammation on the overlaying mucosa. A needle aspirate of the mass yielded no fluid. Ultrasonography revealed a lobulated extra-oral mass. The lesion was subsequently excised under general anesthesia and histopathological analysis of the tissue showed lobules of mature adipocytes admixed with fibrous tissues, which confirmed the diagnosis. Fibrolipoma of the floor of the mouth and submandibular space is an uncommon tumour with good prognosis. Complete surgical excision is the treatment of choice. Histopathological examination of the tissue must be performed to confirm diagnosis.
口腔底和下颌下间隙纤维脂肪瘤:一种罕见的临床实体
脂肪瘤是一种良性软组织肿瘤,生长缓慢,无痛,无症状。发生在下颌间隙是相对罕见的。我们报告一个异常巨大和下陷的纤维脂肪瘤的情况下,口腔底和下颌间隙。我们报告一个52岁的家庭主妇,主诉进行性无痛肿胀的口腔底部和下颌下空间,干扰说话和咀嚼3年。临床检查发现口腔底部有一个8cm可移动的分叶状肿块,并进入左侧下颌下间隙,其上覆粘膜无溃疡或炎症征象。用针吸出的肿块没有液体。超声检查显示一分叶状口外肿块。病变随后在全身麻醉下切除,组织病理学分析显示成熟脂肪细胞小叶与纤维组织混合,证实了诊断。摘要口底及下颌下间隙纤维脂肪瘤是一种少见的肿瘤,预后良好。完全的手术切除是治疗的选择。必须进行组织病理学检查以确认诊断。
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