A Large Intraoral Lipoma: Case Report

Abstract

Lipomas of the oral cavity are uncommon. Here we report a case of 85 year old female presenting with a progressively increasing large growth in the oropharynx which was diagnosed as lipoma on histopathology. The clinicoradiological and histopathological findings are discussed. To the best of our knowledge; this is one of the largest intraoral lipoma reported in India till date. The present case highlights the need to be aware of intraoral lipomas which can present as large growths at this unusual site so as to avoid any unwarranted aggressive surgery.

Keywords: Intraoral; Large; Lipoma; Pathology; Tumor.

Fig. 1

a Local clinical examination showing a large nodular intraoral growth.Overlying mucosa appears smooth. b Magnetic resonance imaging (MRI) neck with contrast showing a large, well circumscribed elongated intra-oral soft tissue mass lesion measuring 8 × 3 cms arising from right pharyngeal mucosal space and right posterior soft palate with partial compression of oropharyngeal airway. c Per operative examination showing a nodular encapsulated lesion measuring 8 × 3.5 × 3 cm. d Grossly the cut surface is yellow and fatty. e Microscopy showing nodular lesion covered with squamous epithelium (H&Ex20). f The lesion is composed of lobules of mature adipocytes (H&Ex40).G. S100 immunohistochemistry is positive in the adipocytes