Bilateral intraosseous lipoma of the maxillary tuberosity: A challenging entity

J Stomatol Oral Maxillofac Surg. 2023 Dec;124(6):101482. doi: 10.1016/j.jormas.2023.101482. Epub 2023 Apr 23.

Abstract

Lipomas can occur anywhere in the body where fat cells are present; however, intraosseous lipomas are rare. Although solitary lesions have already been reported in the gnathic bones, to the best of our knowledge, this is the first case of bilateral intraosseous lipoma. A 62-year-old woman was referred for evaluation of a swelling on both maxillary tuberosities. The radiographic examination showed a mixed radiolucent-radiopaque image with ill-defined borders on the right side of the maxilla, and an ill-defined radiolucency on the left side. Histologically, both sides revealed numerous mature adipocytes surrounded by immature bone and dystrophic calcification. The patient remains under follow-up and free of disease for 8 months. Due to the rarity of the intraosseous lipomas in the jaws, a literature review of the published cases was performed jointly with this unique case report.

Keywords: Bilateral lipoma; Intraosseous lipoma; Lipoma; Maxillary tuberosity.

Publication types

  • Review
  • Case Reports

MeSH terms

  • Adipose Tissue / pathology
  • Bone Neoplasms* / diagnosis
  • Bone Neoplasms* / pathology
  • Female
  • Humans
  • Lipoma* / diagnosis
  • Lipoma* / pathology
  • Lipoma* / surgery
  • Maxilla / diagnostic imaging
  • Maxilla / pathology
  • Maxilla / surgery
  • Middle Aged
  • Tomography, X-Ray Computed