Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제36권5호
  • /
  • Pages.438-440
  • /
  • 2010
  • /
  • 2234-7550(pISSN)
  • /
  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
권호 표지
DOI QR코드

DOI QR Code

이하선 천엽에 발생한 지방종의 치험례

Lipoma on superficial lobe of the parotid gland: case report

  • 김정한 (동아대학교 의료원 치과학교실 구강악안면외과) ;
  • 김철훈 (동아대학교 의료원 치과학교실 구강악안면외과) ;
  • 김민구 (동아대학교 의료원 치과학교실 구강악안면외과) ;
  • 송진우 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 정유진 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 김복주 (동아대학교 의료원 치과학교실 구강악안면외과)
  • Kim, Jung-Han (Department of Oral and Maxillofacial Surgery, Department of Dentistry, Dong-A University Medical Center) ;
  • Kim, Chul-Hoon (Department of Oral and Maxillofacial Surgery, Department of Dentistry, Dong-A University Medical Center) ;
  • Kim, Min-Gu (Department of Oral and Maxillofacial Surgery, Department of Dentistry, Dong-A University Medical Center) ;
  • Song, Jin-Woo (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Jung, Eu-Gene (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Kim, Bok-Joo (Department of Oral and Maxillofacial Surgery, Department of Dentistry, Dong-A University Medical Center)
  • 투고 : 2010.06.07
  • 심사 : 2010.10.18
  • 발행 : 2010.10.29
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

A lipoma is a benign tumor of matured adipose tissue that usually occurs at the shoulder, back, and abdomen. 13% of lipomas occur in the head and neck area. However, the incidence of lipoma in the parotid gland is very low, approximately 2.5%. A conservational surgical excision is recommended in cases of lipoma of the parotid gland, with only 1-2% of lipomas recurring. We report a case of a lipoma in the parotid gland that was removed by conservational surgical excision. The lesion was exposed by the pre-auricular approach and the tissue was detached. After the parotid gland envelop was exposed, a yellowish mass is observed that was easy to remove due to capsulation. Most authors recommend a surgical excision of the superficial lobe of the parotid gland as the treatment for a lipoma in the parotid gland. However, enucleation only may be a sufficient treatment when a lipoma occurs in the superficial lobe or around the parotid gland. A patidectomy is not needed when a lipoma is located at the superficial lobe of the parotid gland, and a conservational surgical excision is suitable. Therefore, a clinical diagnosis is important for reducing the damage to the facial nerve.

키워드

참고문헌

  1. Williams TP, Stewart JC. Surgical pathology. In: Fonseca RJ, ed. Oral and Maxillofacial surgery. 1st ed. Philadelphia: W.B. Saunders; 2000:137-8.
  2. Som PM, Scherl MP, Rao VM, Biller HF. Rare presentations of ordinary lipomas of the head and neck: a review. AJNR Am J Neuroradiol 1986;7:657-64.
  3. Malave DA, Ziccardi VB, Greco R, Patterson GT. Lipoma of the parotid gland: report of a case. J Oral Maxillofac Surg 1994;52: 408-11. https://doi.org/10.1016/0278-2391(94)90451-0
  4. Walts AE, Perzik SL. Lipomatous lesions of the parotid area. Arch Otolaryngol 1976;102:230-2. https://doi.org/10.1001/archotol.1976.00780090072010
  5. Kim YH, Reiner L. Ultrastructure of lipoma. Cancer 1982;50: 102-6. https://doi.org/10.1002/1097-0142(19820701)50:1<102::AID-CNCR2820500119>3.0.CO;2-7
  6. Houston GD, Brannon RB. Lipoma of the parotid gland. Oral Surg Oral Med Oral Pathol 1985;60:72-4. https://doi.org/10.1016/0030-4220(85)90219-1
  7. Grage TB, Lober PH, Shahon DB. Benign tumors of the major salivary glands. Surgery 1961;50:625-33.
  8. Korentager R, Noyek AM, Chapnik JS, Steinhardt M, Luk SC, Cooter N. Lipoma and liposarcoma of the parotid gland: high resolution preoperative imaging diagnosis. Laryngoscope 1988; 98:967-71.
  9. Sapp JP, Eversole LR, Wysocki GP. Contemporary oral and maxillofacial pathology. 2nd ed. St. Louis, Mo: Mosby; 2004.
  10. Peel RL, Gnepp DR. Diseases of the salivary glands. In: Barnes L, ed. Surgical pathology of the head and neck. Vol. 1. 1st ed. New York, NY: Marcel Dekker; 1985:533-645.
  11. Janecka IP, Conley J, Perzin KH, Pitman G. Lipoma presenting as parotid tumors. Laryngoscope 1977;87:1007-10.
  12. Enzinger FM, Weiss SW. Soft tissue tumors. 2nd ed. St. Louis, Mo: Mosby; 1988.