A case of symmetric lipomatosis of the tongue

  • SATO Yuho
    Oral Surgery, Department of Oral Restitution, Division of Oral Health Sciences, Graduate School, Tokyo Medical and Dental University
  • TAKAHASHI Etsuko
    Oral Surgery, Department of Oral Restitution, Division of Oral Health Sciences, Graduate School, Tokyo Medical and Dental University Department of Dentistry and Oral Surgery, Kawasaki Social Insurance Hospital
  • TAKAHASHI Yuzo
    Oral Surgery, Department of Oral Restitution, Division of Oral Health Sciences, Graduate School, Tokyo Medical and Dental University
  • SAKAMOTO Ichiro
    Oral Surgery, Department of Oral Restitution, Division of Oral Health Sciences, Graduate School, Tokyo Medical and Dental University
  • OMURA Ken
    Oral Surgery, Department of Oral Restitution, Division of Oral Health Sciences, Graduate School, Tokyo Medical and Dental University
  • OKADA Norihiko
    Diagnostic Oral Pathology, Department of Oral Restitution, Division of Oral Health Sciences, Graduate School, Tokyo Medical and Dental University

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Other Title
  • 舌に発生した対称性脂肪腫症の1例

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Abstract

Symmetric lipomatosis is characterized by symmetric, tumor-like lipomatous proliferation of adipose tissue. This lesion usually develops in the head, neck, shoulders, and upper trunk; however, it is rarely recognized in the oral region. We report a case of symmetric lipomatosis of the tongue (SLT). The patient was a 67-year-old man. He was not obese. Symmetrical and diffuse swelling was bilaterally recognized at the border of the tongue. The tongue showed macroglossia. Tongue biopsy was performed on the right-side swelling. The diagnosis was lipomatosis. No any other surgical procedure was done because of the patient's general condition and lack of dysfunction of the tongue. The lesion showed no tendency to enlarge during 9 months after biopsy. Although the etiology of SLT remains unknown, this condition is thought to be associated with alcoholism, liver disorder, hyperlipidemia, and androgenic hormones. This patient had a history of alcoholism, hepatitis C, hepatocellular carcinoma, and an elevated serum triglyceride level. SLT in this patient was suggested to be associated with these metabolic disorders.

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