SURGICAL TREATMENT OF LIPOMA LOCATED IN THE JUGAL MUCOSA: CLINICAL CASE REPORT

Abstract

Lipoma is considered a benign mesenchymal neoplasm, uncommon when present in the oral cavity, representing approximately 5% of oral tumors in humans. In the oral cavity, lipomas typically present as painless, solitary, slow-growing, well-circumscribed submucosal nodules. The clinical diagnosis is usually obvious, but lipomas can be confused with other neoplasms of the oral cavity. One of the imaging methods used for differential diagnosis is magnetic resonance imaging. In accordance with the literature, the histopathological aspects of lipomas can be classified into simple lipomas and variants, such as fibrolipoma, chondrolipoma, osteolipoma, intermuscular and intramuscular lipomas, angiolipoma, myolipoma, myelolipoma, benign lipoblastoma, chondroid lipoma, spindle cell lipoma, pleomorphic lipoma, and sialolipoma. Therefore, the problem of this study is: does surgical excision have a level of efficacy that prevents recurrence of the lesion? The present study had as its general objective to describe a case of lipoma in the buccal mucosa in a 67-year-old female patient, in which the proposed treatment was excisional biopsy under local anesthesia. The methodology used to develop this study is descriptive in nature, with a clinical case study having a qualitative approach, having as theoretical basis the scientific articles published in the PubMed and National Library of Medicine databases. This study aims to address lipoma affected in the intraoral region, providing support based on scientific evidence in the aspects of diagnosis, histopathological analysis and treatment.