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İntraoral Lipom: Bir Olgu Sunumu
2023
Journal:  
Selcuk Dental Journal
Author:  
Abstract:

İntraoral Lipom: Bir Olgu Sunumu Amaç Lipomlar, fibröz doku tarafından lobüllere ayrılan, adipoz doku orijinli, çoğunlukla normal mukoza ile örtülü, asemptomatik, benign mezenşimal neoplazmlardır. Genellikle sebebi bilinmese de etyolojide ailesel yatkınlık, travma, alkol, radyasyon ve bazı kronik hastalıklar suçlanmaktadır. Erkeklerde kadınlara göre daha fazla saptanmıştır. Bu olgu sunumunda yanakta az rastlanan ve oldukça büyük boyutlara ulaşmış lipomun tedavisi sunulacaktır. Olgu Yirmi yedi yaşında kadın hasta, uzun süredir mevcut olan ve boyutları giderek artan sağ yanakta şişlik şikâyetiyle kliniğimize başvurdu. Yapılan muayenede sağ bukkal mukoza bölgesinde yaklaşık 2x2 cm boyutunda, yumuşak kıvamlı, hareketli ve düzgün sınırlı kitle tespit edildi. Lokal anestezi altında intraoral yaklaşımla kitle total olarak eksize edildi. Histopatolojik inceleme sonucu, lipom olarak gelen hastanın, 2 yıllık takibinde nüks görülmedi. Bulgular Lipomlar, kapsüler adipoz dokunun benign neoplazmları olup, genellikle subkutanöz dokularda görülseler de derin dokularda da görülebilirler. Maksillofasiyal bölgede nisbeten az rastlanırlar. En sık parotis bölgesinde görülürler, bunu yanak izler. Tanı amacıyla ince iğne aspirasyon biyopsisi, ultrason, BT ve manyetik rezonans görüntüleme yöntemleri kullanılmaktadır. Ayrıcı tanıda, fibroepitelyal polip, anjioma, dermoid kist, fibroma ve liposarkom düşünülmelidir. Temel tedavi şekli cerrahi eksizyon olan lipomlar, fonksiyonel veya kozmetik nedenlerle eksize edilebilirler ve total rezeksiyonu takiben genellikle rekürrens göstermezler. Sonuç Lipom benign bir tümör olup tüm vücutta yaygın görülmekle beraber ağız içi lipomlar, rutin diş muayeneleri sırasında fark edilebilen nadir bir antitedir. Etyolojisi net olarak bilinmemektedir. Kesin tanı ve tedavisi için cerrahi eksizyon uygundur. Bukkal bölgedeki lipomlar intraoral yolla güvenli bir şekilde total olarak eksize edilebilir. Bu olguda total olarak eksize edilen lipomun 2 yıllık takibinde herhangi bir şikâyet ve nüks görülmedi. Anahtar kelimeler: bukkal mukoza, oral lipom, patoloji

Keywords:

Intraoral Lipom: A Case Presentation
2023
Author:  
Abstract:

Intraoral Lipoma: A Case Presentation Purpose Lipoma is a lipoma, which is divided into lobules by fibrose tissue, fatty tissue originating, mostly covered with normal mucosa, asymptomatic, benign mesenchimal neoplasms. Although the cause is often unknown, the etiology is accused of family inclination, trauma, alcohol, radiation and some chronic diseases. It is more found in men than in women. In the presentation of this phenomenon, the treatment of the lipomum that is little found and reaches quite large sizes will be offered. The case Twenty-seven-year-old female patient, who has been present for a long time and has increased its size, appeared to our clinic with a swelling on the right side. During the examination, a mass of approximately 2x2 cm in the right corner muscle area was found soft, moving and properly limited. Under local anesthesia, the mass was total exhausted by an intraoral approach. As a result of the histopathological examination, the patient who came as a lipoma did not see nuts in 2 years of follow-up. The findings are lipomas, capsular adiposite tissue’s benign neoplasms, which can often be seen in subcutaneous tissues, but can also be seen in deep tissues. They are relatively less found in the maxillophasial area. They are most often seen in the parotis area, it is observed by the foam. For the purpose of diagnosis, thin injection aspiration biopsy, ultrasound, BT and magnetic resonance imaging methods are used. In the distinctive diagnosis, fibroepithelial polyps, angioma, dermoid cyst, fibromes and liposarcoma should be considered. The basic form of treatment is that the lipomas, which are a surgical excision, can be exhausted for functional or cosmetic reasons, and after total recession they often do not show recurrence. The result Lipom is a benign tumor and is common throughout the body while oral lipomas are a rare antidepressant that can be observed during routine dental tests. Ethology is not clearly known. The surgical excision is suitable for the exact diagnosis and treatment. The lipomas in the bacterial area can be completely exhausted in a safe manner by intraoral means. In this case, no complaints and nonsense were observed in the two-year follow-up of the total exhausted lipom. Keywords: oral lipoma, bacterial mucosa, pathology

Keywords:

2023
Author:  
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Selcuk Dental Journal

Field :   Sağlık Bilimleri

Journal Type :   Ulusal

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Selcuk Dental Journal