Oral Fibrolipoma-A Rare Histological Entity: Report of 3 Cases and Review of Literature
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Auteurs : B. S. Manjunatha [Inde] ; G. S. Deepak Pateel [Inde] ; V. Shah [Inde]Source :
- Journal of Dentistry (Tehran, Iran) [ 1735-2150 ] ; 2010.
Abstract
Lipomas are rare benign soft tissue mesenchymal neoplasms in the oral cavity, representing 1% of all benign oral tumors. Fibrolipoma (FL), an uncommon, histological variant of the classic lipoma, mostly affects the buccal mucosa. Very few cases of FL have been reported in the English literature. To the best of our knowledge a review of the English literature showed 33 cases of FL affecting the oral cavity.
The diagnosis and differentiation of FL with clinically similar lesions such as fibroma, mucocele and pleomorphic adenoma are very essential for a correct treatment plan and complete follow-up. Due to the rarity of oral cavity fibrolipoma reports, three cases and a review of literature is presented here.
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PubMed: 21998799
PubMed Central: 3184759
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Oral Fibrolipoma-A Rare Histological Entity: Report of 3 Cases and Review of Literature</title><author><name sortKey="Manjunatha, B S" sort="Manjunatha, B S" uniqKey="Manjunatha B" first="B. S." last="Manjunatha">B. S. Manjunatha</name><affiliation wicri:level="1"><nlm:aff id="af1-jod-7-4-226">Associate Professor, Deptment of Oral Pathology and Microbiology, Sumandeep Vidyapeeth, K M Shah Dental College and Hospital, Pipariya,Vadodara, Gujarat State, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Associate Professor, Deptment of Oral Pathology and Microbiology, Sumandeep Vidyapeeth, K M Shah Dental College and Hospital, Pipariya,Vadodara, Gujarat State</wicri:regionArea></affiliation></author><author><name sortKey="Pateel, G S Deepak" sort="Pateel, G S Deepak" uniqKey="Pateel G" first="G. S. Deepak" last="Pateel">G. S. Deepak Pateel</name><affiliation wicri:level="1"><nlm:aff id="af2-jod-7-4-226">Senior lecturer, Department of Oral Pathology and Microbiology, Sumandeep Vidyapeeth, K M Shah Dental College and Hospital, Pipariya,Vadodara, Gujarat State, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Senior lecturer, Department of Oral Pathology and Microbiology, Sumandeep Vidyapeeth, K M Shah Dental College and Hospital, Pipariya,Vadodara, Gujarat State</wicri:regionArea></affiliation></author><author><name sortKey="Shah, V" sort="Shah, V" uniqKey="Shah V" first="V." last="Shah">V. Shah</name><affiliation wicri:level="1"><nlm:aff id="af3-jod-7-4-226">Professor, Department of Oral Pathology and Microbiology, Sumandeep Vidyapeeth, K M Shah Dental College and Hospital, Pipariya,Vadodara, Gujarat State, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Professor, Department of Oral Pathology and Microbiology, Sumandeep Vidyapeeth, K M Shah Dental College and Hospital, Pipariya,Vadodara, Gujarat State</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">21998799</idno><idno type="pmc">3184759</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3184759</idno><idno type="RBID">PMC:3184759</idno><date when="2010">2010</date><idno type="wicri:Area/Pmc/Corpus">001D90</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001D90</idno><idno type="wicri:Area/Pmc/Curation">001D90</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001D90</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Oral Fibrolipoma-A Rare Histological Entity: Report of 3 Cases and Review of Literature</title><author><name sortKey="Manjunatha, B S" sort="Manjunatha, B S" uniqKey="Manjunatha B" first="B. S." last="Manjunatha">B. S. Manjunatha</name><affiliation wicri:level="1"><nlm:aff id="af1-jod-7-4-226">Associate Professor, Deptment of Oral Pathology and Microbiology, Sumandeep Vidyapeeth, K M Shah Dental College and Hospital, Pipariya,Vadodara, Gujarat State, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Associate Professor, Deptment of Oral Pathology and Microbiology, Sumandeep Vidyapeeth, K M Shah Dental College and Hospital, Pipariya,Vadodara, Gujarat State</wicri:regionArea></affiliation></author><author><name sortKey="Pateel, G S Deepak" sort="Pateel, G S Deepak" uniqKey="Pateel G" first="G. S. Deepak" last="Pateel">G. S. Deepak Pateel</name><affiliation wicri:level="1"><nlm:aff id="af2-jod-7-4-226">Senior lecturer, Department of Oral Pathology and Microbiology, Sumandeep Vidyapeeth, K M Shah Dental College and Hospital, Pipariya,Vadodara, Gujarat State, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Senior lecturer, Department of Oral Pathology and Microbiology, Sumandeep Vidyapeeth, K M Shah Dental College and Hospital, Pipariya,Vadodara, Gujarat State</wicri:regionArea></affiliation></author><author><name sortKey="Shah, V" sort="Shah, V" uniqKey="Shah V" first="V." last="Shah">V. Shah</name><affiliation wicri:level="1"><nlm:aff id="af3-jod-7-4-226">Professor, Department of Oral Pathology and Microbiology, Sumandeep Vidyapeeth, K M Shah Dental College and Hospital, Pipariya,Vadodara, Gujarat State, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Professor, Department of Oral Pathology and Microbiology, Sumandeep Vidyapeeth, K M Shah Dental College and Hospital, Pipariya,Vadodara, Gujarat State</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of Dentistry (Tehran, Iran)</title><idno type="ISSN">1735-2150</idno><idno type="eISSN">2008-2185</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Lipomas are rare benign soft tissue mesenchymal neoplasms in the oral cavity, representing 1% of all benign oral tumors. Fibrolipoma (FL), an uncommon, histological variant of the classic lipoma, mostly affects the buccal mucosa. Very few cases of FL have been reported in the English literature. To the best of our knowledge a review of the English literature showed 33 cases of FL affecting the oral cavity.</p><p>The diagnosis and differentiation of FL with clinically similar lesions such as fibroma, mucocele and pleomorphic adenoma are very essential for a correct treatment plan and complete follow-up. Due to the rarity of oral cavity fibrolipoma reports, three cases and a review of literature is presented here.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Fregnani, Er" uniqKey="Fregnani E">ER Fregnani</name></author><author><name sortKey="Pires, Fr" uniqKey="Pires F">FR Pires</name></author><author><name sortKey="Falzoni, R" uniqKey="Falzoni R">R Falzoni</name></author><author><name sortKey="Lopes, Ma" uniqKey="Lopes M">MA Lopes</name></author><author><name sortKey="Vargas, Pa" uniqKey="Vargas P">PA Vargas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Devisscher, Jg" uniqKey="Devisscher J">JG deVisscher</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Papanayotou, Ph" uniqKey="Papanayotou P">PH Papanayotou</name></author><author><name sortKey="Kayavis, Ig" uniqKey="Kayavis I">IG Kayavis</name></author><author><name sortKey="Trigonidis, G" 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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Dent (Tehran)</journal-id><journal-id journal-id-type="publisher-id">JDT</journal-id><journal-title-group><journal-title>Journal of Dentistry (Tehran, Iran)</journal-title></journal-title-group><issn pub-type="ppub">1735-2150</issn><issn pub-type="epub">2008-2185</issn><publisher><publisher-name>Tehran University of Medical Sciences</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">21998799</article-id><article-id pub-id-type="pmc">3184759</article-id><article-id pub-id-type="publisher-id">jod-7-226</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Oral Fibrolipoma-A Rare Histological Entity: Report of 3 Cases and Review of Literature</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Manjunatha</surname><given-names>B.S.</given-names></name><xref ref-type="aff" rid="af1-jod-7-4-226"><sup>1</sup></xref><xref ref-type="corresp" rid="c1-jod-7-4-226"></xref></contrib><contrib contrib-type="author"><name><surname>Pateel</surname><given-names>G.S. Deepak</given-names></name><xref ref-type="aff" rid="af2-jod-7-4-226"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Shah</surname><given-names>V.</given-names></name><xref ref-type="aff" rid="af3-jod-7-4-226"><sup>3</sup></xref></contrib></contrib-group><aff id="af1-jod-7-4-226"><label>1</label>Associate Professor, Deptment of Oral Pathology and Microbiology, Sumandeep Vidyapeeth, K M Shah Dental College and Hospital, Pipariya,Vadodara, Gujarat State, India</aff><aff id="af2-jod-7-4-226"><label>2</label>Senior lecturer, Department of Oral Pathology and Microbiology, Sumandeep Vidyapeeth, K M Shah Dental College and Hospital, Pipariya,Vadodara, Gujarat State, India</aff><aff id="af3-jod-7-4-226"><label>3</label>Professor, Department of Oral Pathology and Microbiology, Sumandeep Vidyapeeth, K M Shah Dental College and Hospital, Pipariya,Vadodara, Gujarat State, India</aff><author-notes><corresp id="c1-jod-7-4-226">Corresponding author: B.S. Manjunatha, Associate Professor, Dept of Oral Pathology, KM Shah Dental College Sumandeep Vidyapeeth Pipariya--391760 Waghodia Vadodara, Gujarat, India. <email>drmanju26@hotmail.com</email></corresp></author-notes><pub-date pub-type="collection"><year>2010</year></pub-date><pub-date pub-type="epub"><day>30</day><month>9</month><year>2010</year></pub-date><pub-date pub-type="ppub"><season>Autumn</season><year>2010</year></pub-date><volume>7</volume><issue>4</issue><fpage>226</fpage><lpage>231</lpage><history><date date-type="received"><day>15</day><month>4</month><year>2010</year></date><date date-type="accepted"><day>20</day><month>10</month><year>2010</year></date></history><permissions><copyright-statement>Copyright © Dental Research Center, Tehran University of Medical Sciences</copyright-statement><copyright-year>2010</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution NonCommercial 3.0 License (CC BY-NC 3.0), which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.</license-p></license></permissions><abstract><p>Lipomas are rare benign soft tissue mesenchymal neoplasms in the oral cavity, representing 1% of all benign oral tumors. Fibrolipoma (FL), an uncommon, histological variant of the classic lipoma, mostly affects the buccal mucosa. Very few cases of FL have been reported in the English literature. To the best of our knowledge a review of the English literature showed 33 cases of FL affecting the oral cavity.</p><p>The diagnosis and differentiation of FL with clinically similar lesions such as fibroma, mucocele and pleomorphic adenoma are very essential for a correct treatment plan and complete follow-up. Due to the rarity of oral cavity fibrolipoma reports, three cases and a review of literature is presented here.</p></abstract><kwd-group><kwd>Lipoma</kwd><kwd>Buccal Mucosa</kwd><kwd>Adipose Tissue Neoplasms</kwd><kwd>Adipocytes</kwd></kwd-group></article-meta></front><floats-group><fig id="f1-jod-7-4-226" position="float"><label>Fig 1</label><caption><p>Photograph showing lesion in the palate in case-3.</p></caption><graphic xlink:href="jod-7-226f1"></graphic></fig><fig id="f2-jod-7-4-226" position="float"><label>Fig 2</label><caption><p>Macroscopic appearance of the lesion in case-2.</p></caption><graphic xlink:href="jod-7-226f2"></graphic></fig><fig id="f3-jod-7-4-226" position="float"><label>Fig 3</label><caption><p>Microphotograph showing round to oval shaped adipocytes admixed with fibrous connective tissue stroma (H & E Stain, 100X magnification).</p></caption><graphic xlink:href="jod-7-226f3"></graphic></fig><fig id="f4-jod-7-4-226" position="float"><label>Fig 4</label><caption><p>Microphotograph showing round to oval shaped adipocytes admixed with dense collagenous fibers and fibroblasts (H & E Stain, 400X magnification).</p></caption><graphic xlink:href="jod-7-226f4"></graphic></fig><table-wrap id="t1-jod-7-4-226" position="float"><label>Table 1</label><caption><p>Summary of previous reported cases of oral fibrolipoma</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" valign="top" rowspan="1" colspan="1"><bold><italic>Author</italic></bold></th><th align="left" valign="top" rowspan="1" colspan="1"><bold><italic>Age /Sex<xref ref-type="table-fn" rid="tfn1-jod-7-4-226">*</xref></italic></bold></th><th align="left" valign="top" rowspan="1" colspan="1"><bold><italic>Site</italic></bold></th><th align="center" valign="top" rowspan="1" colspan="1"><bold><italic>Duration</italic></bold></th><th align="center" valign="top" rowspan="1" colspan="1"><bold><italic>No. of Cases</italic></bold></th><th align="center" valign="top" rowspan="1" colspan="1"><bold><italic>Recurrence</italic></bold></th></tr></thead><tbody><tr><td align="left" valign="top" rowspan="1" colspan="1">Saitoh et al 1995 <sup><xref ref-type="bibr" rid="b16-jod-7-4-226">16</xref></sup></td><td align="left" valign="top" rowspan="1" colspan="1">3/F</td><td align="left" valign="top" rowspan="1" colspan="1">Parotid</td><td align="center" valign="top" rowspan="1" colspan="1">NA</td><td align="center" valign="top" rowspan="1" colspan="1">1</td><td align="left" valign="top" rowspan="1" colspan="1">NED 3 years</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Dattilo et al 1996 <sup><xref ref-type="bibr" rid="b14-jod-7-4-226">14</xref></sup></td><td align="left" valign="top" rowspan="1" colspan="1">45/M</td><td align="left" valign="top" rowspan="1" colspan="1">Tongue</td><td align="center" valign="top" rowspan="1" colspan="1">10 years</td><td align="center" valign="top" rowspan="1" colspan="1">1</td><td align="left" valign="top" rowspan="1" colspan="1">NA</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Epivatianos et al 2000 <sup><xref ref-type="bibr" rid="b13-jod-7-4-226">13</xref></sup></td><td align="left" valign="top" rowspan="1" colspan="1">NA</td><td align="left" valign="top" rowspan="1" colspan="1">Tongue</td><td align="center" valign="top" rowspan="1" colspan="1">NA</td><td align="center" valign="top" rowspan="1" colspan="1">2</td><td align="left" valign="top" rowspan="1" colspan="1">NA</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Fregnani et al 2003 <sup><xref ref-type="bibr" rid="b1-jod-7-4-226">1</xref></sup></td><td align="left" valign="top" rowspan="1" colspan="1">NA</td><td align="left" valign="top" rowspan="1" colspan="1">Buccal Mucosa</td><td align="center" valign="top" rowspan="1" colspan="1">NA</td><td align="center" valign="top" rowspan="1" colspan="1">18</td><td align="left" valign="top" rowspan="1" colspan="1">NED 26.5 months</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Furlong MA et al 2004 <sup><xref ref-type="bibr" rid="b7-jod-7-4-226">7</xref></sup></td><td align="left" valign="top" rowspan="1" colspan="1">NA</td><td align="left" valign="top" rowspan="1" colspan="1">Parotid Buccal mucosa</td><td align="center" valign="top" rowspan="1" colspan="1">NA</td><td align="center" valign="top" rowspan="1" colspan="1">2</td><td align="left" valign="top" rowspan="1" colspan="1">NA</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Bandéca MC 2007 <sup><xref ref-type="bibr" rid="b23-jod-7-4-226">23</xref></sup></td><td align="left" valign="top" rowspan="1" colspan="1">42/M</td><td align="left" valign="top" rowspan="1" colspan="1">Lower lip</td><td align="center" valign="top" rowspan="1" colspan="1">NA</td><td align="center" valign="top" rowspan="1" colspan="1">1</td><td align="left" valign="top" rowspan="1" colspan="1">NED 60 months</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Capodiferro S et al 2008 <sup><xref ref-type="bibr" rid="b15-jod-7-4-226">15</xref></sup></td><td align="left" valign="top" rowspan="1" colspan="1">43/M</td><td align="left" valign="top" rowspan="1" colspan="1">Labial mucosa</td><td align="center" valign="top" rowspan="1" colspan="1">8 months</td><td align="center" valign="top" rowspan="1" colspan="1">1</td><td align="left" valign="top" rowspan="1" colspan="1">NED 10 months</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Freitas et al 2009 <sup><xref ref-type="bibr" rid="b9-jod-7-4-226">9</xref></sup></td><td align="left" valign="top" rowspan="1" colspan="1">56/F</td><td align="left" valign="top" rowspan="1" colspan="1">Buccal mucosa</td><td align="center" valign="top" rowspan="1" colspan="1">NA</td><td align="center" valign="top" rowspan="1" colspan="1">7</td><td align="left" valign="top" rowspan="1" colspan="1">NA</td></tr></tbody></table><table-wrap-foot><fn id="tfn1-jod-7-4-226"><label>*</label><p>Age→in years, M→ Male, F→Female, NED--no evidence of disease; NA--not available</p></fn></table-wrap-foot></table-wrap><table-wrap id="t2-jod-7-4-226" position="float"><label>Table 2</label><caption><p>Clinical details of our cases</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="center" valign="top" rowspan="1" colspan="1"><bold><italic>Case</italic></bold></th><th align="center" valign="top" rowspan="1" colspan="1"><bold><italic>Age/Gender<xref ref-type="table-fn" rid="tfn2-jod-7-4-226">*</xref></italic></bold></th><th align="center" valign="top" rowspan="1" colspan="1"><bold><italic>Site<xref ref-type="table-fn" rid="tfn2-jod-7-4-226">*</xref></italic></bold></th><th align="center" valign="top" rowspan="1" colspan="1"><bold><italic>Size</italic></bold></th><th align="center" valign="top" rowspan="1" colspan="1"><bold><italic>Appearance</italic></bold></th><th align="center" valign="top" rowspan="1" colspan="1"><bold><italic>Symptoms</italic></bold></th><th align="center" valign="top" rowspan="1" colspan="1"><bold><italic>Duration</italic></bold></th><th align="center" valign="top" rowspan="1" colspan="1"><bold><italic>Consistency</italic></bold></th></tr></thead><tbody><tr><td align="center" valign="top" rowspan="1" colspan="1">Case 1</td><td align="center" valign="top" rowspan="1" colspan="1">75 /M</td><td align="center" valign="top" rowspan="1" colspan="1">Right BM</td><td align="center" valign="top" rowspan="1" colspan="1">3 cm</td><td align="center" valign="top" rowspan="1" colspan="1">Pedunculated</td><td align="center" valign="top" rowspan="1" colspan="1">None</td><td align="center" valign="top" rowspan="1" colspan="1">10 years</td><td align="center" valign="top" rowspan="1" colspan="1">Soft</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Case 2</td><td align="center" valign="top" rowspan="1" colspan="1">55 /M</td><td align="center" valign="top" rowspan="1" colspan="1">Right BM</td><td align="center" valign="top" rowspan="1" colspan="1">1 cm</td><td align="center" valign="top" rowspan="1" colspan="1">Sessile</td><td align="center" valign="top" rowspan="1" colspan="1">None</td><td align="center" valign="top" rowspan="1" colspan="1">6 months</td><td align="center" valign="top" rowspan="1" colspan="1">Firm</td></tr><tr><td align="center" valign="top" rowspan="1" colspan="1">Case 3</td><td align="center" valign="top" rowspan="1" colspan="1">70 /M</td><td align="center" valign="top" rowspan="1" colspan="1">Soft Palate</td><td align="center" valign="top" rowspan="1" colspan="1">1.5 cm</td><td align="center" valign="top" rowspan="1" colspan="1">Sessile</td><td align="center" valign="top" rowspan="1" colspan="1">None</td><td align="center" valign="top" rowspan="1" colspan="1">6months</td><td align="center" valign="top" rowspan="1" colspan="1">Soft</td></tr></tbody></table><table-wrap-foot><fn id="tfn2-jod-7-4-226"><label>*</label><p>Age→in years, M→ Male, F→Female, BM→ Buccal mucosa</p></fn></table-wrap-foot></table-wrap></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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