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脂肪瘤是一种少见的口腔良性新生物。 Panders and Scherpenisse把脂肪肿块分为三种类型:脂肪瘤,纤维脂瘤,脂肪纤维瘤。前二者在口腔内最常见于颊部。最少见于磨牙后垫和牙龈。本文描述了一例出现在下颌附着龈的罕见肿物。病历报告一位31岁黑人妇女进行牙周诊治时,发现在左下颌第一前磨牙邻近的附着龈上有一个直径0.5cm、无蒂、非溃疡性的新生物。X线照像显示没有累及骨质。触诊肿块较硬、邻近牙龈色泽改变。患者没有任何察觉,否认患区有外伤史。临床鉴别有:外围性骨化纤维瘤,外周性巨细胞肉芽肿,脓性肉芽肿,刺激性纤维瘤。局麻下切除肿物,愈合良好,随访一年未见复发。
Lipoma is a rare oral benign neoplasm. Panders and Scherpenisse divide the fat mass into three types: lipoma, fibroadenoma, and fatty fibromatosis. The first two are most common in the buccal area in the mouth. The least seen in molars after the pad and gums. This article describes an example of a rare tumor found in the gingiva attached to the mandible. Medical records Report A 31-year-old black woman who underwent periodontal treatment found a 0.5 cm diameter, non-pedunculated, non-ulcer neoplasm attached to the adjacent gingival appendage of the first premolar left mandible. X-rays showed no involvement of the bone. Palpation mass harder, adjacent to the gum color change. Patients without any notice, denied the affected area had a history of trauma. Clinical identification are: peripheral ossifying fibroma, peripheral giant cell granuloma, purulent granuloma, irritating fibroids. Local anesthesia resection of the tumor, healed well, no follow-up of one year follow-up.