Huge Tongue Lipoma: A Case Report

Document Type : Case Report

Authors

Department of Otorhinolaryngology, Kerman University of Medical Sciences and Health Services, Kerman, Iran.

Abstract

Introduction:
Lipomas are among the most common tumors of the human body. However, they are uncommon in the oral cavity and are observed as slow growing, painless, and asymptomatic yellowish submucosal masses. Surgical excision is the treatment of choice and recurrence is not expected. 
 
Case Report:
The case of a 30-year-old woman with a huge lipoma on the tip of her tongue since 3 years, is presented. She had difficulty with speech and mastication because the tongue tumor was filling the oral cavity. Clinical examination revealed a yellowish lesion, measuring 8 cm in maximum diameter, protruding from the lingual surface. The tumor was surgically excised with restoration of normal tongue function and histopathological examination of the tumor confirmed that it was a lipoma.
 
Conclusion: 
Tongue lipoma is rarely seen and can be a cause of macroglossia. Surgical excision for lipoma is indicated for symptomatic relief and exclusion of associated malignancy.

Keywords

Main Subjects


1. Fletcher CDM, Unni KK, Mertens F. Adipocytic tumors. In: Pathology and genetics: tumours of soft tissue and bone. World Health Organization classification of tumours. IARC Press. 2002; 9-46.
2. de Freitas MA, Freitas VS, de Lima AA, Pereira FB Jr, dos Santos JN. Intraorallipomas: a study of 26 cases in a Brazilian population. Quintessence Int. 2009; 40(1):79-85.
3. Dattilo DJ, Ige J T, Nwana EJC. Intraoral lipoma of the tongue and submandibular space. J Oral MaxillofacSurg .1996; 54(7): 915-7.
4. Keskin G, Ustundag E, Ercin C. Multiple infiltrating lipomas of the tongue. J LaryngolOtol. 2002; 116(05): 395-7.
5. Taira Y, Yasukawa K, Yamamori I, Lino M. Oral lipoma extending superiorly from mandibular gingivobuccal fold to gingival: a case report and analysis of 207 patients with oral lipoma in Japan. Odontology j. 2012; 100(1):104–8.
6.  Rafieiyan N, Hamian M, Anbari F, Abdolsamadi H.R. Lipoma of the tongue: a case report. DJH . 2011; 2(1):59-61.
7. Lee SH, Yoon HJ. Bilateral asymmetric tongue classic lipomas. Oral Surg Oral Med Oral Pathol Oral RadiolEndod . 2012; 114(1): e15–8.
8. Epivatianos A, Markopoulos AK, Papanayonou P. Benign tumors of adipose tissue of the oral cavity: a clinicopathologic study of 13 cases. J Oral MaxillofacSurg. 2000; 58(10): 1113-17.
9. Fregnani ER, Pires FR, Falzoni R, Lopes MA, Vargas PA. Lipomas of the oral cavity: clinical findings, Histological classification and proliferative activity of 46 cases. Int J Oral MaxillofacSurg. 2003; 32: 49-53.
10.  Lawoyin JO, Akande OO, Kolude B, Agbaje JO. Lipoma of the oral cavity: clinicopathological review of seven cases form Ibadan. Niger J Med. 2001; 10(4):189-91.
11. Moore PL, Goede A, Phillips DE, Carr RP. Atypical lipoma of the tongue. J LaryngolOtol .2001; 115(10): 859–61.
12. Thomas S, Varghese BT, Sebastian P, Koshy CM, Mathews A, Abraham EK. Intramuscular lipomatosis of tongue. Postgrad Med J. 2002; 78(919):295–7.
13.  Guillou L, Dehon A, Charlin B, Madarnas P. Pleomorphic lipoma of the tongue: case report and literature review. J Otolaryngol. 1986; 15(5):313– 6.
14. Chun-Kit Chung J, Wai-Man Ng, R. A huge tongue lipoma. Otolaryngology–Head and Neck Surgery .2007; 137: 830-1.
15. Magadum D, Sanadi A, Manish Agrawal J, Suresh Agrawal M. Classic tongue lipoma: a common tumour at a rare site. BMJ Case Rep.[internet].2013 JAN 30; doi:10.1136/bcr-2012-007987 available from:http://case reports.bmj.com
16. Chidzonga MM, Mahomva L, Marimo C. Gigantic tongue lipoma: A case report. Med Oral Patol Oral Cir Bucal. 2006; 11:437-9.
17. Chandak S, Pandilwar PK, Chandak T, Mundhada R. Huge lipoma of tongue. Contemporary Clinical Dentistry .2012; 3(4) 507-9.
18. Colella G, Biondi P,  Caltabiano R, Vecchio GM, Amico P, Magro G. Giant intramuscular lipoma of the tongue: a case report and literature review. Cases Journal. 2009; 2: 7906.
19. Del Castillo- Pando De Vera JL, Cebrian– Carretero JL, Gomez-Garan E. Chronic lingual ulceration cased by lipoma of the oral cavity. Med Oral. 2004; 9(2): 166-7.
20. Enzenger FM. Soft tissue tumors. St Louis: Mosby. 1983; 223–7.
21. Furlong MA, Fanburg-Smith JC, Childers EL. Lipoma of the oral and Maxillofacial region: Site and subclassifications  of 125 cases. Oral Surg Oral Med Oral Pathol Oral Rad Endod .2004;98:441-50.
22. Gray A R, Barker G R. Sublingual lipoma. Report of an unusually large lesion. J Oral MaxillofacSurg. 1991; 49: 747-50.
23. Capodiferro S, Scully C, Maiorano E, Lo Muzio L, Favia G. Liposar­comacircumscriptum (lipoma-like) of the tongue: report of a case. Oral Dis. 2004; 10(6): 398-400.
24. Favia G, Maiorano E, Orsini G, Piatelli A. Myxoidliposarcoma of the oral cavity with involvement of the periodontal tissues. J ClinPeriodontol.2004;28(2):109-12.
25. Nunes FD, Loducca SVL, de Oliveira EMF, de Araujo VC. Well-differentiated liposarcoma of the tongue. Oral Oncol .2002;38(1):117-19.
26. Piattelli A, Rubies C, Fioroni M, Steches G. Spindle-cell lipoma of the cheek: a case report. Oral Oncol .2000; 36(5):495-6.
27. Katou F, Shirai N, Moategi K, Satoh R, Satoh S. Symmetrical lipo­matosis of the tongue presenting as
macroglossia. Report of two cases. J Craniomaxillofac. 1993; 21(7):298-301.
28. Pelissier A, Sawaf MH, Shabana AH. Infiltrating (intramuscular) benign lipoma of the head and neck. J Oral MaxillofacSurg. 1991; 49(11): 1231–6.
29. Piattelli A, Fioroni M, Rubini C. Intramuscular lipoma of the cheek: a case report. J Oral MaxillofacSurg .2000; 58(7):817–19.
30.Zhong LP, Zhao SF, Chen GF, Ping FY. Ultrasonographic appearance of lipoma in the oral and maxillofacial region. Oral Surg Oral Med Oral Pathol Oral RadiolEndod. 2004; 98(6):738-40.