下颌颊侧前庭骨膜外脂肪瘤1例报道

doi:10.12439/kqhm.1005-4979.2023.06.011

《口腔颌面外科杂志》 ›› 2023, Vol. 33 ›› Issue (6): 410-413. doi: 10.12439/kqhm.1005-4979.2023.06.011

下颌颊侧前庭骨膜外脂肪瘤1例报道

马中凯(), 马平川, 章杲威, 李泓霖, 李春洁()

口腔疾病防治全国重点实验室，国家口腔医学中心，国家口腔疾病临床医学研究中心，四川大学华西口腔医院头颈肿瘤外科成都 610041

收稿日期:2022-08-14 接受日期:2022-10-23 出版日期:2023-12-28 发布日期:2023-12-26
通讯作者: 李春洁，教授. Email：lichunjie@scu.edu.cn
作者简介:
马中凯，住院医师. Email：mazhongkai_scu@qq.com
基金资助:
四川省自然科学基金项目(2022NSFSC0635)

Parosteal lipoma of mandibular buccal vestibule: A case report

MA Zhongkai(), MA Pingchuan, ZHANG Gaowei, LI Honglin, LI Chunjie()

State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, Department of Head and Neck Oncology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China

Received:2022-08-14 Accepted:2022-10-23 Online:2023-12-28 Published:2023-12-26

摘要/Abstract

摘要：

脂肪瘤在临床上以躯干及四肢的近端多见，也可发生于口腔内。脂肪瘤根据其发生部位的解剖层次不同可分为浅表脂肪瘤、深部软组织脂肪瘤和骨膜外脂肪瘤（parosteal lipoma，PL），其中以PL最为少见。口腔内的PL十分少见，本文报道1例下颌颊侧前庭PL，并结合文献，探讨口腔内PL的临床表现、诊断及治疗。

关键词: 骨膜外脂肪瘤, 口腔, 临床表现, 诊断

Abstract:

Lipomas are commonly found in the proximal part of the trunk or limbs and also found in the oral cavity. Lipoma has been divided into three types based on the origin of the location: superficial lipoma, deep lipoma, and parosteal lipoma (PL). PL is a rare entity and is seldom seen in the oral cavity. This article presents a case of PL in mandibular buccal vestibul and discusses clinical manifestation, diagnosis, and treatment of oral parosteal lipoma.

Key words: parosteal lipoma, oral cavity, clinical manifestation, diagnosis

中图分类号:

R782

马中凯, 马平川, 章杲威, 李泓霖, 李春洁. 下颌颊侧前庭骨膜外脂肪瘤1例报道[J]. 《口腔颌面外科杂志》, 2023, 33(6): 410-413.

MA Zhongkai, MA Pingchuan, ZHANG Gaowei, LI Honglin, LI Chunjie. Parosteal lipoma of mandibular buccal vestibule: A case report[J]. 《Journal of Oral and Maxillofacial Surgery》, 2023, 33(6): 410-413.

https://journal06.magtech.org.cn/Jweb_joms/CN/Y2023/V33/I6/410

图/表 5

图1 术前口内观

Figure 1 Preoperative intraoral photograph

图2 术前超声及CBCT A.彩色多普勒超声检查；B. CBCT。红色箭头示脂肪瘤。

Figure 2 Preoperative color Doppler ultrasonography and CBCT image

图3 术中照片 A. 暴露肿瘤；B. 完整切除后的口内观；C. 完整切除的肿瘤标本。

Figure 3 Intraoperative photographs

图4 术后苏木精-伊红（hematoxylin and eosin，HE）染色图 A. 放大100倍；B. 放大200倍。

Figure 4 Pathological features of lipoma（HE）

图5 术后7 d照片

Figure 5 Photograph showing 7 d after the operation

参考文献 20

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