METHODS: A 54-year-old female presented with a painless, enlarging mass on the inner aspect of her right lower lip, first noticed 2 years prior. The mass, now the size of a peanut, interfered with her eating and speech. Physical examination revealed a 2.0 × 2.5 × 1.0 cm mass beneath the mucous membrane of the right lower lip. It was firm, well-demarcated, and mobile. Surgical excision was performed, and histopathological analysis confirmed the diagnosis of a lower lip fibrolipoma. The lesion was successfully removed without recurrence.
CONCLUSIONS: Lipomas in the oral and maxillofacial regions are rare, slow-growing benign tumors, particularly within the lips. Although their diagnosis is straightforward based on clinical presentation, histopathological confirmation is essential. Surgical resection remains the treatment of choice, with excellent prognostic outcomes.
方法:一名54岁的女性出现无痛,她右下唇内侧的肿块增大,第一次注意到2年前。质量,现在有花生的大小,干扰了她的饮食和讲话。体格检查发现右下唇粘膜下方有2.0×2.5×1.0厘米的肿块。它是坚定的,界限分明,和移动。进行了手术切除,组织病理学分析证实诊断为下唇纤维脂肪瘤。病灶成功切除,无复发。
结论:口腔颌面部脂肪瘤罕见,生长缓慢的良性肿瘤,尤其是在嘴唇内。尽管他们的诊断是基于临床表现的,组织病理学确认至关重要。手术切除仍然是首选的治疗方法,预后效果良好。