Fat Free Pleomorphic Lipoma of Oral Cavity: A Rare EntityCorrespondence Address :
Dr. Nagarajan Lavanya,
Reader, Department of Oral Pathology, Ragas Dental College and Hospital, 2/102, East Coast Road, Uthandi-600119,
Chennai, Tamil Nadu, India.
Pleomorphic lipoma is a rare, benign, soft tissue neoplasm that characteristically occurs as a subcutaneous mass in the posterior neck or upper back and rarely in the tonsillar fossa and oral cavity. Histologically, pleomorphic lipoma contains varying amounts of mature fat, areas of spindle and pleomorphic cells, floret giant cells and thick rope – like collagen in a myxoid stroma. Pleomorphic lipoma with scanty fatty elements is called the fat free variant of pleomorphic lipoma. The combination of meagre amount of fat and presence of pleomorphic elements gives a pseudosarcomatous picture under the microscope leading to misdiagnosis and over treatment. Here, we report a case of fat free pleomorphic lipoma, first of its kind in the oral cavity and discuss the diagnostic features and differential diagnosis.
Floret giant cells, Ropey collagen, Soft tissue neoplasm
Kannan Ranganathan, Seema Alice Mathew, Nellimad Sreedharan Sreena, Nagarajan Lavanya. FAT FREE PLEOMORPHIC LIPOMA OF ORAL CAVITY: A RARE ENTITY. Journal of Clinical and Diagnostic Research [serial online] 2017 March [cited: 2017 Apr 27 ]; 11:ZD01-ZD03. Available from
Date of Submission: Oct 05, 2016
Date of Peer Review: Oct 31, 2016
Date of Acceptance: Dec 04, 2016
Date of Publishing: Mar 01, 2017
Financial OR OTHER COMPETING INTERESTS: None.
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