Lipoma of the cheek: a case report

Abstract

Introduction: Lipomas constitute the most common benign mesenchymal tumors observed in soft tissues, representing 13% of cases within the head and neck region. Clinically, lipomas present as a mass with a smooth surface and soft texture, with symptoms varying depending on the location, growth rate, and size. The preferred treatment modality for head and neck lipomas is surgical excision, following a thorough diagnostic assessment. This case report aims to document our clinical experience in managing a cheek lipoma.

Case report: A 60-year-old woman presented to our department with an asymptomatic swelling in her cheek. After appropriate investigations, complete surgical excision of the lesion was performed. The histological report confirmed the diagnosis of lipoma.

Discussion: Surgical excision constitutes the gold standard treatment for the removal of a buccal lipoma. This procedure is relatively simple and routine, typically performed under local anesthesia or, in exceptional circumstances, with sedation. The surgeon initiates with a linear, horizontal incision to optimally conceal the scar, preferably aligned with a natural skin crease. Subsequent dissection involves separating the benign adipose tissue from its surrounding capsule, followed by complete excision. The procedure concludes with layered closure, frequently employing resorbable sutures to minimize visible scarring. This excision guarantees the total removal of the tumor and minimizes the risk of local recurrence.

In conclusion, cheek lipomas are relatively uncommon benign lesions whose diagnosis depends on clinical examination and imaging studies. Surgical intervention involving complete excision of the lesion results in an excellent prognosis with a minimal risk of recurrence.