From Volume 38, Issue 3, April 2011 | Pages 188-190
The oral cavity is an uncommon site for a true lipoma. A distinct histological variant is chondrolipoma, which is a rare oral lesion. A case of chondrolipoma in a 71-year-old male is reported and histology and differential diagnosis are discussed.
Lipomas are one of the most common benign soft tissue neoplasms. They can occur at any site in the body. They contain adipose tissue and are usually found subcutaneously in the trunk and limbs. The oral cavity is a rare site for true lipomas and only a few cases of lipoma with cartilage formation have been reported in this region. These lesions have been called chondrolipoma (lipoma with chondroid metaplasia or lipoma with cartilaginous change). Cartilage is probably produced by metaplasia of fibroblasts into chondroblasts.
In this case, a chondrolipoma of the lateral border of the tongue in a 71-year-old male is presented. A differential diagnosis of lateral tongue swellings is given. The lesion is benign and does not recur after complete excision.
A 71-year-old Caucasian male was referred via his general medical practitioner to the Oral and Maxillofacial Surgery Department at the Newcastle General Hospital for consultation regarding a painless lump in the right lateral border of the tongue. This was a suspected mucocele, which had been present for about 5 months, and some increase in size was noticed.
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