Oral functional impairments associated with large sublingual angiolipoma.
Horatiu Urechescu, Felicia Streian, Marius Pricop et al.
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Case in brief
A male in his late 50s presented with a painless sublingual mass that led to difficulties in speech, mastication, swallowing, and occasional respiratory discomfort due to limited tongue movement. MRI suggested a conventional lipoma, but the definitive diagnosis was unclear preoperatively. The mass was excised via a transoral approach, resulting in complete functional recovery and no recurrence at 6 months. Histopathology confirmed angiolipoma.
Diagnostic / clinical pearl
Imaging may not reliably differentiate between lipomatous tumor subtypes, making histopathological examination crucial for accurate diagnosis.
Why it matters
Large benign lesions in the floor of the mouth can significantly impair function, underscoring the need for timely diagnosis and intervention.