Skip to main content

Advertisement

Log in

Lipomas of the oral cavity: clinical and histopathologic study of 41 cases in a Brazilian population

  • Miscellaneous
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

This study evaluated the clinical and histopathologic aspects of 41 cases of oral lipomas diagnosed in a Brazilian population. All records from patients diagnosed with oral lipoma between 1970 and 2008 were reviewed. Histological sections were evaluated by light microscopy. There was a predominance of females (2.4:1), with a peak incidence between the sixth and seventh decade. The buccal mucosa was the most affected site (53.7%), followed by the buccal sulcus (14.6%) and tongue (9.8%). Tumor size ranged from 0.5 to 10 cm and the mean reported duration was 48 months. Histologically, the following variants were identified: lipoma (41.5%), fibrolipoma (34.1%), spindle cell lipoma (9.8%), sialolipoma (9.8%), osteolipoma (2.4%), and chondrolipoma (2.4%). Most tumors were well delimited, irrespective of the variant. Lipomas are rare tumors of the oral cavity. The characterization of new variants, such as sialolipomas, and the identification of histological subtypes in already known variants, such as low-fat and fat-free spindle cell lipomas, highlight the importance for careful microscopic evaluation of these tumors, which might be combined with immunohistochemistry in some cases.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Said-Al-Naief N, Zahurullah FR, Sciubba JJ (2001) Oral spindle cell lipoma. Ann Diagn Pathol 5:207–215. doi:10.1053/adpa.2001.26973

    Article  CAS  PubMed  Google Scholar 

  2. Bandéca MC, Pádua JM, Nadalin MR, Ozório JEV, Silva-Sousa YTC, Perez DEC (2007) Oral soft tissue lipomas: a case series. J Can Dent Assoc 73:431–434

    PubMed  Google Scholar 

  3. Furlong MA, Fanburg-Smith JC, Childers ELB (2004) Lipoma of the oral and maxillofacial region: site and subclassification of 125 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 98:441–450. doi:10.1016/j.tripleo.2004.02.071

    Article  PubMed  Google Scholar 

  4. Gnepp DR (2001) Diagnostic surgical pathology of the head and neck. WB Saunders, Philadelphia

    Google Scholar 

  5. De Visscher JG (1982) Lipomas and fibrolipomas of the oral cavity. J Oral Maxillofac Surg 10:177–181

    Google Scholar 

  6. Fregnani ER, Pires FR, Falzoni R, Lopes MA, Vargas PA (2003) Lipomas of the oral cavity: clinical findings, histological classification and proliferative activity of 46 cases. Int J Oral Maxillofac Surg 32:49–53. doi:10.1054/ijom.2002.0317

    Article  CAS  PubMed  Google Scholar 

  7. Epivatianos A, Markopoulos AK, Papanayotou P (2000) Benign tumors of adipose tissue of the oral cavity: a clinicopathologic study of 13 cases. J Oral Maxillofac Surg 58:1113–1118. doi:10.1053/joms.2000.9568

    Article  CAS  PubMed  Google Scholar 

  8. Nagao T, Sugano I, Ishida Y, Asoh A, Munakata S, Yamazaki K, Konno A, Kondo Y, Nagao K (2001) Sialolipoma: a report of seven cases of a new variant of salivary gland lipoma. Histopathology 38:30–36. doi:10.1046/j.1365-2559.2001.01054.x

    Article  CAS  PubMed  Google Scholar 

  9. Weiss SW, Goldblum JR (2001) Enzinger and Weiss’s soft tissue tumors, 4th edn. Mosby, St Louis

    Google Scholar 

  10. Trandafir D, Gogălniceanu D, Trandafir V, Căruntu ID (2007) Lipomas of the oral cavity: a retrospective study. Rev Med Chir Soc Med Nat Iasi 111:754–758

    PubMed  Google Scholar 

  11. Lin YJ, Lin LM, Chen YK, Shen YH, Hsue SS, Wang WC, Lin CC (2004) Sialolipoma of the floor of the mouth: a case report. Kaohsiung J Med Sci 20:410–414

    Article  PubMed  Google Scholar 

  12. Castilho RM, Squarize CH, Nunes FD, Pinto Junior DS (2004) Osteolipoma: a rare lesion in the oral cavity. Br J Oral Maxillofac Surg 42:363–364. doi:10.1016/j.bjoms.2004.04.001

    Article  CAS  PubMed  Google Scholar 

  13. Piattelli A, Perrotti V, Fioroni M, Rubini C (2005) Spindle cell lipoma of the floor of the mouth: report of a case. Auris Nasus Larynx 32:205–207. doi:10.1016/j.anl.2005.01.013

    Article  PubMed  Google Scholar 

  14. Saghafi S, Mellati E, Sohrabi M, Raahpeyma A, Salehinejad J, Zare-Mahmoodabadi R (2008) Osteolipoma of the oral and pharyngeal region: report of a case and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 105:e30–e34. doi:10.1016/j.tripleo.2008.02.018

    Article  PubMed  Google Scholar 

  15. Seldin HM, Seldin SD, Rakower W, Jarrett WJ (1967) Lipomas of the oral cavity: report of 26 cases. J Oral Surg 25:270–274

    CAS  PubMed  Google Scholar 

  16. Chidzonga MM, Mahomva L, Marimo C (2006) Gigantic tongue lipoma: a case report. Med Oral Patol Oral Cir Bucal 11:e437–e439

    PubMed  Google Scholar 

  17. Roles DM (1995) Lipoma of the tongue. Br J Oral Maxillofac Surg 33:196–197. doi:10.1016/0266-4356(95)90307-0

    Article  CAS  PubMed  Google Scholar 

  18. MacGregor AJ, Dyson DP (1966) Oral lipoma: a review of the literature and report of twelve new cases. Oral Surg Oral Med Oral Pathol 21:770–777. doi:10.1016/0030-4220(66)90100-9

    Article  CAS  PubMed  Google Scholar 

  19. Greer RO, Richardson JF (1973) The nature of lipomas and their significance in the oral cavity: a review and report of cases. Oral Surg Oral Med Oral Pathol 36:551–557. doi:10.1016/0030-4220(73)90313-7

    Article  CAS  PubMed  Google Scholar 

  20. Rapidis AD (1982) Lipoma of the oral cavity. Int J Oral Surg 11:30–35. doi:10.1016/S0300-9785(82)80045-8

    Article  CAS  PubMed  Google Scholar 

  21. Hatziotis JC (1971) Lipoma of the oral cavity. Oral Surg Oral Med Oral Pathol 31:511–524. doi:10.1016/0030-4220(71)90348-3

    Article  CAS  PubMed  Google Scholar 

  22. Piattelli A, Fioroni M, Rubini C (2000) Intramuscular lipoma of the check: a case report. J Oral Maxillofac Surg 58:817–819. doi:10.1053/joms.2000.7281

    Article  CAS  PubMed  Google Scholar 

  23. Allard RHB, Blok P, van der Kwast WAM, van der Waal I (1982) Oral lipomas with osseous and chondrous metaplasia: report of two cases. J Oral Pathol 11:18–25. doi:10.1111/j.1600-0714.1982.tb00139.x

    Article  CAS  PubMed  Google Scholar 

  24. Fujimura N, Enomoto S (1992) Lipoma of the tongue with cartilaginous change: a case report and review of the literature. J Oral Maxillofac Surg 50:1015–1017. doi:10.1016/0278-2391(92)90066-9

    Article  CAS  PubMed  Google Scholar 

  25. Hietanen J, Mäkinen J (1997) Chondrolipoma of the tongue: a case report. Int J Oral Maxillofac Surg 26:127–128. doi:10.1016/S0901-5027(05)80833-1

    Article  CAS  PubMed  Google Scholar 

  26. McAndrew PG, Greenspan JS (1976) Lipoma of lip with cartilage formation. Br Dent J 140:239–240. doi:10.1038/sj.bdj.4803743

    Article  CAS  PubMed  Google Scholar 

  27. Vázquez Rueda F, Salas Molina J, Perez de Sobrino R, Ocaña JM (1993) Chondrolipoma of the tongue in an infant: a case report. An Esp Pediatr 39:553–554

    PubMed  Google Scholar 

  28. Szudrowicz Z, Jakobi-Róz H (1995) Chondrolipoma of the lip. Pol J Pathol 46:55–56

    CAS  PubMed  Google Scholar 

  29. Piattelli A, Fioroni M, Iezzi G, Rubini C (2001) Osteolipoma of the tongue. Oral Oncol 37:468–470. doi:10.1016/S1368-8375(00)00105-6

    Article  CAS  PubMed  Google Scholar 

  30. Rau T, Soeder S, Olk A, Aigner T (2006) Parosteal lipoma of the thigh with cartilaginous and osseous differentiation: an osteochondrolipoma. Ann Diagn Pathol 10:279–282. doi:10.1016/j.anndiagpath.2006.03.009

    Article  PubMed  Google Scholar 

  31. Zuk PA, Zhu M, Mizuno H, Huang J, Futrell JW, Katz AJ, Benhaim P, Lorenz HP, Hedrick MH (2001) Multilineage cells from human adipose tissue: implications for cell-based therapies. Tissue Eng 7:211–228. doi:10.1089/107632701300062859

    Article  CAS  PubMed  Google Scholar 

  32. Strem BM, Hicok KC, Zhu M, Wulur I, Alfonso Z, Schreiber RE, Fraser JK, Hedrick MH (2005) Multipotential differentiation of adipose tissue-derived stem cells. Keio J Med 54:132–141. doi:10.2302/kjm.54.132

    Article  CAS  PubMed  Google Scholar 

  33. Ramer N, Lumerman HS, Ramer Y (2007) Sialolipoma: report of two cases and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 104:809–813. doi:10.1016/j.tripleo.2007.01.011

    Article  PubMed  Google Scholar 

  34. Hornigold R, Morgan PR, Pearce A, Gleeson MJ (2005) Congenital sialolipoma of the parotid gland first reported case and review of the literature. Int J Pediatr Otorhinolaryngol 69:429–434. doi:10.1016/j.ijporl.2004.10.014

    Article  CAS  PubMed  Google Scholar 

  35. Michaelidis IGA, Stefanopoulos PK, Sambaziotis D, Zahos MA, Papadimitriou GA (2006) Sialolipoma of the parotid gland. J Craniomaxillofac Surg 34:43–46. doi:10.1016/j.jcms.2005.08.008

    PubMed  Google Scholar 

  36. Sakai T, Iida S, Kishino M, Okura M, Kogo M (2006) Sialolipoma of the hard palate. J Oral Pathol Med 35:376–378. doi:10.1111/j.1600-0714.2006.00409.x

    Article  PubMed  Google Scholar 

  37. Ponniah I, Lavanya N, SureshKumar P (2007) Island of salivary gland in adipose tissue: a report of three cases. J Oral Pathol Med 36:558–562

    CAS  PubMed  Google Scholar 

  38. Saleh HA, Ram B, Harmse JL, Michie BA, Blair RL (1998) Lipomatosis of the minor salivary glands. J Laryngol Otol 112:895–897. doi:10.1017/S002221510014201X

    Article  CAS  PubMed  Google Scholar 

  39. Enzinger FM, Harvey DA (1975) Spindle cell lipoma. Cancer 36:1852–1859. doi:10.1002/1097-0142(197511)36:5<1852::AID-CNCR2820360542>3.0.CO;2-U

    Article  CAS  PubMed  Google Scholar 

  40. Billings SD, Henley JD, Summerlin DJ, Vakili S, Tomich CE (2006) Spindle cell lipoma of the oral cavity. Am J Dermatopathol 28:28–31. doi:10.1097/01.dad.0000189615.13641.4b

    Article  PubMed  Google Scholar 

  41. Mulvany NJ, Silvester AC, Collins JP (1999) Spindle cell lipoma of the breast. Pathology 31:288–291. doi:10.1080/003130299105188

    Article  CAS  PubMed  Google Scholar 

  42. Piattelli A, Rubini C, Fioroni M, Iezzi G (2000) Spindle cell lipoma of the cheek: a case report. Oral Oncol 36:495–496. doi:10.1016/S1368-8375(00)00035-X

    Article  CAS  PubMed  Google Scholar 

  43. Billings SD, Folpe AL (2007) Diagnostically challenging spindle cell lipomas: a report of 34 “low-fat” and “fat-free” variants. Am J Dermatopathol 29:437–442

    Article  PubMed  Google Scholar 

  44. Darling MR, Thompson I, Schneider J (2002) Spindle cell lipoma of the alveolar mucosa: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 93:171–173. doi:10.1067/moe.2002.120520

    Article  PubMed  Google Scholar 

  45. McDaniel RK, Newland JR, Chiles DG (1984) Intraoral spindle cell lipoma: case report with correlated light and electron microscopy. Oral Surg Oral Med Oral Pathol 57:52–57. doi:10.1016/0030-4220(84)90260-3

    Article  CAS  PubMed  Google Scholar 

Download references

Conflict of interest statement

We inform that we do not have a financial relationship with the organization that sponsored the research.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Márcia Cristina da Costa Miguel.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Juliasse, L.E.R., Nonaka, C.F.W., Pinto, L.P. et al. Lipomas of the oral cavity: clinical and histopathologic study of 41 cases in a Brazilian population. Eur Arch Otorhinolaryngol 267, 459–465 (2010). https://doi.org/10.1007/s00405-009-1010-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-009-1010-z

Keywords

Navigation