MASSIVE LIPOMA OF THE ORAL CAVITY: A CASE REPORT

• DOI: https://doi.org/10.22533/at.ed.01724210510

• Palavras-chave: Lipoma, cirurgia bucal, medicina bucal

• Keywords: Lipoma, oral surgery, oral medicine

• Abstract: Lipomas of the oral cavity are rare – especially with large dimensions. Clinically, this entity develops asymptomatically and slowly. Most of the patients affected by lipomas are diagnosed above the age of 60. The radiographic and histological aspects of the lipoma may be similar to many other lesions. Thus, the combination of diagnostic evidences is essential towards more successful treatment outcomes. This study aims to report a case of massive lipoma in the mandible. A 70-year-old male patient was referred to maxillofacial surgery with an asymptomatic edema in the left side of the mandible. The patient complained of difficulties for eating and speaking. In a multidisciplinary approach, clinical, radiographic (computed tomography) and histopathological evidences were collected to reach the diagnosis of lipoma. Surgical enucleation was performed under local anesthesia. Within 1-year- follow-up the patient did not report functional or sensitive deficits. Dentists must be aware of the occurrence of unusual massive lesions in the oral cavity. In parallel, patients must understand the importance of seeking for treatment in early stages of the disease to avoid more invasive surgeries and worse prognoses.