Massive growth of an intraoral lipoma.
OBJECTIVE
The aim of this report is to present a case of one of the largest intraoral lipomas reported in the literature along with a description of its management in an outpatient clinic setting.


BACKGROUND
Lipoma, a benign tumor of adipose tissue, is rarely seen in the oral cavity. When it does occur it is usually found in the cheek or tongue, followed by the lip, gingival, and floor of the mouth. The lesions appear as asymptomatic, freely movable masses. Size of the lesions varies from 3 to 50 mm with an average of 20 mm.


METHODS
A 71-year-old male with a movable and huge mass located in the buccal mucosa region, which was first noticed approximately 25 years earlier, was referred to the Maxillofacial Surgery Clinic at the Universidade Federal do Paraná. A clinical diagnosis of lipoma was established, and the treatment consisted of complete excision of the mass under local anesthesia.


CONCLUSIONS
Although some larger oral masses are better managed surgically at hospital facilities, the present case was treated with local anesthesia with no complications. The lesion evolution and clinical characteristics precluded an incisional biopsy so the excisional surgical approach was used.


CONCLUSIONS
This case report emphasizes the slow growth and benign characteristics of oral lipomas. Even though the lesion presented with a remarkable size, surgical management could be conducted on an outpatient clinical basis.
Scariot
Rafaela
R
Oral and Maxillofacial Surgery Program, Universidade Federal do Paraná, Curitiba, PR, Brazil. rafaela_scariot@yahoo.com.br
Giovanini
Allan Fernando
AF
Torres-Pereira
Cassius Carvalho
CC
Piazzetta
Cleto Mariosvaldo
CM
Costa
Delson João
DJ
Rebellato
Nelson Luis Barbosa
NL
Müller
Paulo Roberto
PR
D000368:Aged; D002610:Cheek / Q000473:pathology*; D006801:Humans; D008067:Lipoma / Q000473:pathology*; D008297:Male; D009061:Mouth Mucosa / Q000473:pathology; D009062:Mouth Neoplasms / Q000473:pathology*