Lipoma Intraoral localizado em borda lingual: relato de caso proservado durante um ano e oito meses.
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Data
2022-12-13
Tipo de documento
Artigo Científico
Título da Revista
ISSN da Revista
Título de Volume
Área do conhecimento
Ciências da Saúde
Modalidade de acesso
Acesso fechado
Editora
Autores
Andrade, Aline Stefany de
Oliveira, Andrelyna Vitória Leal
Orientador
Carvalho, Fábio Luiz Oliveira de
Coorientador
Resumo
O presente estudo está estruturado por meio de uma revisão de literatura associada a um relato de caso clínico de paciente masculino, 58 anos, melanoderma, ex-fumante, ex-etilista, hipertenso e em uso contínuo das medicações losartana potássica, besilato de anlodipino e Ácido Acetilsalicílico (AAS) infantil, que compareceu ao Centro de Especialidades Odontológicas (CEO) Mugival Messias Santos para consulta na especialidade de diagnóstico bucal, relatando “caroço na boca e dificuldade de falar”, manifestado há 3 meses. Ao exame intraoral observou-se nódulo único, séssil, de coloração branca-avermelhada, consistência mole e superfície lisa, com bordas rasas, contorno irregular e deslizamento fixo, sem sintomatologia dolorosa ou ulcerações secundárias, localizado em borda lingual esquerda, medindo 1,5 cm de diâmetro. Para tanto, o objetivo deste trabalho é apresentar um relato de caso com revisão de literatura acerca de um Lipoma Intraoral (LI) localizado em borda lingual esquerda de paciente masculino, descrevendo o pré-operatório, transoperatório, pós-operatório e proservação do caso durante um ano e oito meses. Frente às informações colhidas na anamnese, incluindo histórico médico e familiar e características observadas no exame intraoral, optou-se pela realização de Biópsia Excisional (BE), que atuou como tratamento e método de diagnóstico através do encaminhamento da peça cirúrgica para Exame Histopatológico (EH), no laudo consta que o nódulo é constituído por tecido adiposo maduro, em lóbulos, separados por septos fibrosos e finos com depósito de material amorfo mixóide, apresentando vasos sanguíneos ectasiados, logo, como possíveis diagnósticos estão o Lipoma Mixóide (LM) e o Angiolipoma Mixóide (AM), sugerindo a critério clínico o estudo imunohistoquímico complementar, que não chegou a ser solicitado, afinal, não traria diferenças relevantes ao tratamento e prognóstico. Durante a consulta de 45 dias de pós-operatório, observou-se lesão residual de 0,3 cm, essa desde então tem sido proservada sem demonstrar quaisquer sinais de evolução, logo, sem justificativa plausível para reintervenção cirúrgica imediata ao longo de um ano e oito meses. Ainda, acerca da dificuldade de fala, o paciente não apresentou melhora e foi encaminhado à fonoaudiologia, por não demonstrar adesão ao tratamento proposto e recusar-se a realizar os exercícios em casa, teve melhora discreta. Destarte, o tratamento proposto e a técnica cirúrgica realizada proporcionaram resultados estéticos, funcionais e emocionais satisfatórios ao paciente, devolvendo-lhe funções importantes do sistema estomatognático, especialmente fala, mastigação e deglutição.
This study is structured through a literature review associated with a clinical case report of a male patient, 58 years old, melanoderma, former smoker, former alcoholic, hypertensive and in continuous use of the medications losartan potassium, amlodipine besylate and Acetylsalicylic Acid (ASA) for children, who attended the Dental Specialties Center (CEO) Mugival Messias Santos for consultation in the specialty of oral diagnosis, reporting “lump in the mouth and difficulty speaking”, manifested 3 months ago. On intraoral examination it was detected a single sessile nodule, with white-reddish coloration, soft consistency and smooth surface, with shallow edges, irregular contour and fixed sliding, without painful symptoms or secondary ulcerations, located on the left lingual border, measuring 1.5 cm. in diameter. Therefore, this work’s objective is to present a case report with a literature review about an Intraoral Lipoma (IL) located in the left lingual border of a male patient, describing the preoperative, intraoperative, postoperative and complement of the case during one year and eight months. Considering the information collected in the anamnesis, including medical and family history and characteristics observed in the intraoral examination, it was decided to perform an Excisional Biopsy (EB), which operated as a treatment and diagnostic method by sending the surgical specimen for Histopathological Examination (EH ), the report states that the nodule consists of mature adipose tissue, in lobules, separated by fibrous and thin septa with a deposit of amorphous myxoid material, presenting ectatic blood vessels, therefore, possible diagnoses are Myxoid Lipoma (LM) and Myxoid angiolipoma (AM), suggesting the complementary immuno-histochemical study at clinical discretion, which was not requested, after all, it would not be of relevance to the treatment and prognosis. During the consultation of 45 days after the operation, a residual lesion of 0.3 cm was observed, which has since been maintained without showing any evolution signs, therefore, without plausible justification for immediate surgical re-intervention over a year and eight months. Still, regarding the speech difficulty, the patient did not show improvement and was referred to speech therapy, for not demonstrating adherence to the proposed treatment and refusing to perform the exercises at home, he had a slight improvement. Thus, the proposed treatment and the surgical technique performed provided satisfactory aesthetic, functional and emotional results to the patient, restoring important functions of the stomatognathic system, especially speech, chewing and swallowing.
This study is structured through a literature review associated with a clinical case report of a male patient, 58 years old, melanoderma, former smoker, former alcoholic, hypertensive and in continuous use of the medications losartan potassium, amlodipine besylate and Acetylsalicylic Acid (ASA) for children, who attended the Dental Specialties Center (CEO) Mugival Messias Santos for consultation in the specialty of oral diagnosis, reporting “lump in the mouth and difficulty speaking”, manifested 3 months ago. On intraoral examination it was detected a single sessile nodule, with white-reddish coloration, soft consistency and smooth surface, with shallow edges, irregular contour and fixed sliding, without painful symptoms or secondary ulcerations, located on the left lingual border, measuring 1.5 cm. in diameter. Therefore, this work’s objective is to present a case report with a literature review about an Intraoral Lipoma (IL) located in the left lingual border of a male patient, describing the preoperative, intraoperative, postoperative and complement of the case during one year and eight months. Considering the information collected in the anamnesis, including medical and family history and characteristics observed in the intraoral examination, it was decided to perform an Excisional Biopsy (EB), which operated as a treatment and diagnostic method by sending the surgical specimen for Histopathological Examination (EH ), the report states that the nodule consists of mature adipose tissue, in lobules, separated by fibrous and thin septa with a deposit of amorphous myxoid material, presenting ectatic blood vessels, therefore, possible diagnoses are Myxoid Lipoma (LM) and Myxoid angiolipoma (AM), suggesting the complementary immuno-histochemical study at clinical discretion, which was not requested, after all, it would not be of relevance to the treatment and prognosis. During the consultation of 45 days after the operation, a residual lesion of 0.3 cm was observed, which has since been maintained without showing any evolution signs, therefore, without plausible justification for immediate surgical re-intervention over a year and eight months. Still, regarding the speech difficulty, the patient did not show improvement and was referred to speech therapy, for not demonstrating adherence to the proposed treatment and refusing to perform the exercises at home, he had a slight improvement. Thus, the proposed treatment and the surgical technique performed provided satisfactory aesthetic, functional and emotional results to the patient, restoring important functions of the stomatognathic system, especially speech, chewing and swallowing.
Palavras-chave
Lipoma, Doenças da língua, Neoplasia benigna, Língua