Acta Med. 2021, 64: 174-182

Spindle Cell Lipoma Occurring in the Submandibular Space: Fifth Case Reported along with a Concise Review of the Literature

Manveen Kaur Jawandaa, Harshaminder Kaur Grewalb, Sonia Guptac,*, Vineet Sharmad, Ravi Narulae

aDept. of Oral Pathology and Microbiology & Forensic odontology. Laxmi bai institute of dental sciences and hospital, Patiala, Punjab, India
bWaryam Singh Hospital, Yamunanagar, Haryana, India
cDept. of Oral Pathology and Microbiology & Forensic odontology, Rayat Bahra Dental college and hospital, Mohali, Punjab, India
dDept. of Conservative Dentistry, Laxmi bai institute of dental sciences and hospital, Patiala, Punjab, India
eDept. of Oral and Maxillofacial surgery, Guru Nanak Dev Dental College and Research Institute, Sunam, Punjab, India

Received November 12, 2020
Accepted July 7, 2021

Spindle cell lipoma (SCL) is an uncommon histological variant of lipoma that accounts for 1.5% of all adipose tumors. It rarely occurs in the oral cavity. The most common sites of involvement are the buccal mucosa, tongue, lip, alveolar mucosa, gingiva, and palate. Submandibular space is a very rare site of occurrence for SCL. When occurs in this site, SCL mainly involves the 4th–7th decade with a female predominance. Due to wide communications of submandibular space, the actual extent and appearance of the lesions present here gets masked up especially those involving the deeper tissues leading to an inaccurate diagnosis. Wide overlap of clinical and histopathological features of SCL to other clinical pathologies leads to a challenging task for the clinicians to reach an accurate diagnosis. To our knowledge, only four cases of intraoral SCL involving the submandibular region directly or indirectly have been reported in the literature. Here we represent another rare case of SCL in an 18-year-old male patient along with a concise review of the literature. This case appears to be quite rare due to its location (submandibular space), age, and sex of the patient (18/M).


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