Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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INFILTRATING LIPOMA OF THE CERVICAL AND PAROTID AREA : REPORT OF A CASE

경부 및 이하부에 발생한 침습성 지방종의 치험례

  • Han, Chang-Hun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Kook, Min-Suk (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Park, Hong-Ju (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Oh, Hee-Kyun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Ryu, Sun-Youl (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Cho, Jin-Hyoung (Dental Science Research Institute)
  • 한창훈 (전남대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 국민석 (전남대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 박홍주 (전남대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 오희균 (전남대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 유선열 (전남대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 조진형 (치의학연구소)
  • Published : 2006.12.31
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Abstract

The lipoma is the neoplasm of mesenchymal origin. Although most lipomas occur on the trunk and the proximal portion of the extremities, lipomas of the oral and maxillofacial regions are relatively rare, approximately 13% of all cases. Lipomas have been found in all age, but usually found between 40 and 60 years of age. Clinically the lipoma is a painless, slowly growing, nearly always benign soft mass. The treatment of choice is a surgical excision, and the recurrence is rare. But the infiltrating lipoma originated from muscle has high recurrence rate. It has ill-defined border and little or no evidence of encapsulation. Histologically there is a consistent infiltration with dissociation of the surrounding muscle fiber. The infiltrating lipoma should be excised with surrounding normal muscle and tissue to prevent the recurrence. This case was a 57-year-old female with a painless swelling of the right cervical and parotid areas which was diagnosed as large infiltrating lipoma by clinical examination and radiographic findings. The patient was treated by surgical excision and showed good functional and esthetic results. Histologically the tumor was diagnosed as infiltrating lipoma with no evidence of malignancy.

저자 등은 우측 측방 경부 및 이하부에 발생한 침습성 지방종을 가진 57세 여자 환자에서 이하선 천엽 절제술과 함께 외과적 절제술로 종물을 제거하였다. 술 후 약 2.5년 동안 추적 관찰한 결과 현재까지 재발 등 이상 소견 없이 기능적, 심미적으로 양호한 결과를 얻었기에 문헌고찰과 함께 보고함으로써 지방종의 진단과 치료에 도움이 되고자 한다.

Keywords

References

  1. Enzinger FM, Weiss SW: Soft tissue tumors 2nd ed. St. Louis, Mosby, 1988;301-345
  2. Barnes L: Surgical pathology of the head and neck Vol.1. New York, Dekker, 1985;747-758
  3. Batsakis JG: Tumors of the head and neck, clinical and pathological considerations 2nd ed. Baltimore, Williams & Wilkins 1979;360-364
  4. Evans RW: Histologic appearance of tumors 2nd ed. E. and S. Livingstone Ltd. 1966;68-86
  5. Peter MS, Michael PS: Rare presentation of ordinary lipomas of the head and neck. Am J of Neuroradiol 1986;7:657-664
  6. Greer RO, Richardson JF: The nature of lipomas and their significance in the oral cavity. Oral Surg 1973;36:551-557 https://doi.org/10.1016/0030-4220(73)90313-7
  7. Macgregor AJ, Dyson DP: Oral lipoma: A review of the literature and report. Oral Surg Oral Med Oral Patho 1966;6:770-777
  8. Greenberg SD, Isensee C, Wallace SA: Infiltrating lipomas of the thigh. Am J Clin Path 1963;39:66-72 https://doi.org/10.1093/ajcp/39.1.66
  9. Austin MR, Mark GR, et al: Infiltrating(intramuscular) lipomas and angiolipomas. Arch Surg 1980;15:281-284
  10. Hughes CH, Teras A: Intraoral lipoma with osseous metaplasia: Report of a case. Oral Surg Oral Med Oral Path 1966:576-578
  11. Dionne GP, Seemayer TA: Infiltrating lipoma and angiolipomas revisited. Cancer 1974;33:732-738 https://doi.org/10.1002/1097-0142(197403)33:3<732::AID-CNCR2820330319>3.0.CO;2-3
  12. Wescott WB, Correll RW: Multiple recurrence of a lesion at the base of the tongue. JADA 1984;108:231-232
  13. Bennhoff DF, Wood JW: Infiltrating lipomas of the head and neck. Laryngoscope 1978;88:839-848 https://doi.org/10.1002/lary.1978.88.5.839
  14. Plissier A, Sawaf MH, Al Hassan M, Shabana AM: Infiltrating(intramuscular) benign lipoma of the head and neck. J Oral Mxillofac Surg 1991;49:1231-1236 https://doi.org/10.1016/0278-2391(91)90425-L
  15. Bataineh AB, Mansour MJ, Abalkhail A: Oral infiltrating lipomas. Br J Oral Maxillofac Surg 1996;34:520-523 https://doi.org/10.1016/S0266-4356(96)90249-1
  16. Das Gupta TK: Tumors and tumor-like conditions of the adipose tissue. Curr Prob Surg 1970;7:16-31
  17. Ashley DBJ: Evan's histological appearances of tumors 3rd ed. Edinburgh, Churchill Livingstone 1978;54-57
  18. Chikui T, Yonetsu K, Yoshiura K, Miwa K, Kanda S, Ozeki S, Shinohara M: Imaging findings of lipomas in the orofacial region with CT, US and MRI. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;84:88-95 https://doi.org/10.1016/S1079-2104(97)90302-4
  19. Lerosey Y, Choussy O, Xavier G, Francois A, Marie JP, Dehesdin D, Jerome AG: Infiltrating lipoma of the head and neck: a report of one pediatric case. Int J Ped Otorhinolaryngol 1999;47:91-95 https://doi.org/10.1016/S0165-5876(98)00173-6
  20. Scolozzi P, Lombardi T, Maire G, Pedeutour F, Richter M: Infiltrating intramuscular lipoma of the temporal muscle: a case report with molecular cytogenic analysis. Oral Oncology 2003;39:316-322 https://doi.org/10.1016/S1368-8375(02)00117-3
  21. McDaniel RK, Newland JR, Chiles DG: Intraoral spindle cell lipoma: Case report with correlated light and electron microscopy. Oral Surg 1984;57:52-57 https://doi.org/10.1016/0030-4220(84)90260-3
  22. Sauk JJ: Liposarcoma of the head and neck. J Oral Surg 1971;29:38-40
  23. Yamashita T, Tomoda K, Kumazawa T: The usefulness of partial parotidectomy for benign parotid gland tumor: A retrospective study of 306 cases. Acta Otolaryngol Suppl 1993;500:113-116