Fibrolipoma of the tongue; a case report with literature review

Abstract

Introduction: Fibrolipoma is a less frequent variant of lipoma, it is rarely reported in the oral cavity, especially in the tongue. This study aims to report a very rare case of tongue fibrolipoma. Case report: A 53-year-old female presented with a painless mass at the anterior part of the tongue. It was soft with a smooth regular border. The patient underwent wide local excision to remove the lesion, and the sample was sent for histopathological examination which confirmed the diagnosis of a single fibrolipoma. Discussion: Fibrolipoma is rare in the oral cavity, however, they have been seen in the buccal mucosa, lips, buccal vestibule, floor of the mouth, and retromolar area. It has been proposed that disturbance in glucose and lipid metabolism, hormone therapy, and trauma can lead to the formation and proliferation of the tumor. Conclusion: Fibrolipoma of the tongue is a rare occurrence. Surgical excision is the ideal management strategy. Histopathological examination is the gold standard for definitive diagnosis.