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Case Studies | Medicine and Dentistry | Indonesia | Volume 12 Issue 1, January 2023
A Rare Clinical Unusually Large Sublingual Lipoma in Children: A Case Report
Fadly Rasyid | Seto Adiyantoro | Harmas Yazid Yusuf 
Abstract: Introduction: Oral lipoma is a benign soft tissue tumor of mesenchymal origin, slow growing, found in the buccal mucosa, tongue, floor of the mouth, palate, gingiva, lips, and retromolar area. Lipoma is the most common mesenchymal neoplasm in the maxillofacial region, but is rare in pediatric populations. Case Report: A 3-year-old girl was referred to an oral surgery with the chief complaint of swelling in the lower tongue, causing her to have difficulty eating and frequent salivation. The lesion appeared almost 2 years before, and was ignored then resulting in a swallow inability due to an egg-sized lump and a speech impediment. Extraoral and intraoral examination revealed a pedunculated lesion with a normal mucosal colour in the right sublingual mucosal, extending from the distal aspect to the anterior regio. The lump was 6 cm ? 5 cm. Examination of blood tests, CT-Scan radiology, and FNAB concluded a mixed density hypodense mass with the predominance of fatty tissue in the right sublingual area pushing the tongue to the left. From the biopsy aspiration, it is known that the benign lesion is a lipoma while the blood parameters are within normal limits, histopathology shows hyperplastic (increase cells number) mature fat cells (nucleus at the edge) and intraoral surgical excision is performed. Conclusion: Oral lipoma is a benign neoplasm originating from adipose cells. Dentists should aware that lipoma can occur in the oral cavity and can identify oral lipoma to provide appropriate treatment for patients.
Keywords: Excision, Lipoma, Oral Lipoma, Benign Tumor
Edition: Volume 12 Issue 1, January 2023,
Pages: 390 - 393