Diagnostic and therapeutic strategies for an evolving large jugal lipoma: a comprehensive case study

Lipoma, the most common benign mesenchymal neoplasm in soft tissues, is characterized by the localized growth of fat cells. In the oral cavity, lipomas typically present as well-defined, slow-growing, solitary submucosal nodules that are painless. They are generally easily diagnosed clinically, although there is a possibility of confusion with other neoplasms in the oral cavity In the cervicofacial area, lipomas account for 13% to 20% of cases, with the posterior cervical region being the most frequently involved. A 45-year-old male patient with an unremarkable medical history presented with a slowly evolving left jugal swelling that had been persistent for eight years. CT scan performed without any sign of infiltration. Surgical excision was done and histopathological exam has confirmed a lipoma. Infiltrative lipomas require particular attention, and it is advisable to remove them with a margin of healthy tissue to prevent recurrence. This strategy aims to ensure complete removal of the tumor and reduce the risk of its return.