Giant Lipoma Presents from the Buccal Vestibule

A lipoma is a benign tumor, where the parenchyma is composed of adipose tissue. Lipomas comprise 0.1%–5% of all benign tumors in the oral cavity. A 43-year-old man, with a known masticatory disorder, visited the Department of Oral Surgery at our hospital because of a facial swelling. The swelling, which had worsened over 15 years, was not painful, but the patient had discomfort while eating and talking. A detailed examination revealed a smooth, elastic, soft, circular, and yellowish pink pedunculated tumor-like lesion, with a diameter of approximately 40 mm, on the right buccal mucosa. An oval-shaped neoplastic lesion with a well-defined border of 40 mm × 20 mm was noted on MRI. Based on these results, the lesion was characterized as being a benign lipoma. The tumor was resected under local anesthesia. The pedunculated tumor was excised with an electric knife, and the wound was sutured. No trismus or paresthesia was noted on the postoperative follow-up.

Lingual Focal Hyperplastic Lesion in a Pediatric Patient: Report of an Unusual Case

Focal fibrous hyperplasia (FFH) is an oral mucosal localized non-neoplastic enlargement representing a reaction to chronic local irritations or injuries. The purpose of this report is to describe the management of an asymptomatic fibrotic lesion located in the tongue, in a preschooler boy. A 7-year-6-month old boy attended our clinic for the evaluation of an exophytic pedunculated tumor-like round mass located in the dorsal surface of the tongue. Based on the initial examination and the natural history of the lesion, the presumptive clinical diagnosis determined an irritation FFH. The lesion was surgically excised with a diode laser device, and the postoperative period evolution occurred without any complication. The appropriate treatment of FFH in children initially consists of the removal of local irritant factors. Excellent oral hygiene maintenance and close follow-up care are strongly suggested. Surgical excision is the most frequent modality for persistent lesions. Early diagnosis and proper management of FFH can reduce the risk of future recurrences or complications.

A PARTICULAR PRESENTATION OF A DIFFUSE PEDUNCULATED LIPOMA OF THE SACRAL REGION

Background. Subcutaneous lipomas are one of the most common benign soft tissue tumors seen in clinical practice. They may occur at any age, affecting men more often than women. In therapeutically neglected cases, these lesions may have unusual clinical features. Our case highlights one such form that may be found amongst subcutaneous lipomas. Case report. A 37-year-old man came to the Surgical Clinic for treatment of an ulcerated, pedunculated tumor, measuring 14.5/8/7 cm, located in the sacral region. Clinically, liposarcoma was considered as the diagnosis. Although preoperative fine needle aspiration cytology (FNAC) of the tumor showed mature adipose tissue fragments on all cytological smears, surgical excision was performed, with intraoperative extemporaneous histological examination of the tumor. Histopathological results showed a lipoma with unusual associated features: ulceration of the overlying skin and fatty tissue necrosis, with formation of abscess areas. Conclusion. Therapeutically neglected subcutaneous lipomas may have unusual clinical features, leading to difficulties for both diagnosis and therapeutic approach. This case complements the existing data, from the point of view of the clinical presentation, as well as the histopathological characteristics that a subcutaneous lipoma may have.

Rare Etiology of Acute Embolic Stroke in a 17-Year-Old Girl: Cardiac Papillary Fibroelastoma

A cardiac papillary fibroelastoma is a benign, pedunculated tumor with strand-like projections arising from the endocardium. While often discovered incidentally, these tumors can embolize resulting in major neurologic events. There is a dearth of pediatric literature describing the necessity and optimal timing of surgical intervention for this rare primary cardiac tumor after a cerebrovascular event. We report an interesting case and the subsequent management dilemma in a teenage patient presenting with acute embolic strokes secondary to an aortic valve papillary fibroelastoma. Despite its rarity, a high index of suspicion should be maintained for such tumors in previously healthy children presenting with acute stroke.

Peripheral Ossifying Fibroma in Rare Site: A Clinicopathological Report

ABSTRACT Peripheral ossifying fibroma (POF) is a slowly growing benign tumor with a high recurrence rate. It is a common occurrence in the maxilla. A nodular mass, either pedunculated or sessile, usually emanating from the interdental papilla. Complete excision of the lesion, including the periosteum, is important to prevent recurrence. Peripheral ossifying fibroma occurring in the mandible at the age of 50 in the posterior mandible is an occasional entity. This article describes a case of a female patient with a slowly growing pedunculated tumor in the posterior mandible, which was diagnosed as POF. How to cite this article Koregol AC, Kalburgi N, Kamat A, Mary J, Kotecha A. Peripheral Ossifying Fibroma in Rare Site: A Clinicopathological Report. J Health Sci Res 2015;6(2):60-64.

A rapidly enlarging cutaneous hemangioma in pregnancy

This is a case of a rapidly enlarging cutaneous pedunculated tumor on a patient’s thumb during her pregnancy. This was excised and identified as a hemangioma. A literature search identified a possible hormonal factor in causing an accelerated growth of this tumor.

Intussusception of Rectosigmoid Colon Cancer Mimicking a Pedunculated Tumor

Intussusception in adults is a rare phenomenon involving the colon in approximately 20% of cases. A 65-year-old man was hospitalized with anorexia, anemia, dehydration, and melena. Digital rectal examination revealed a palpable mass approximately 5 cm from the anal verge. The mass moved between the rectosigmoid colon and the rectum below the peritoneal reflection during radiographic examinations and during sigmoidoscopy. We strongly suspected a rectosigmoid pedunculated tumor and performed a low anterior resection. Intraoperatively we observed intussusception of the rectosigmoid colon with easy manual reduction. The tumor was palpable in the rectosigmoid colon. The postoperative course was uneventful. This case illustrates intussusception of a rectosigmoid type 1 colon adenocarcinoma mimicking a pedunculated tumor.