Giant submandibular sialolipoma masquerading as huge goitre: a case report
Abstract Background Sialolipoma is a rare tumour which may arise from both major and minor salivary glands and has recently been described as a variant of salivary gland lipomatous lesions. Case presentation We report a 54-year-old male who presented with a 7-year history of large right anterior nec...
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doaj-6d8d406be7064e5583cc39d06cf4246b2020-11-25T03:38:26ZengBMCBMC Surgery1471-24822020-06-012011510.1186/s12893-020-00787-8Giant submandibular sialolipoma masquerading as huge goitre: a case reportSentilnathan Subramaniam0Syamim Johan1Firdaus Hayati2Chiak Yot Ng3Nornazirah Azizan4Jitt Aun Chuah5Irfan Mohamad6Department of Surgery, Queen Elizabeth Hospital, Ministry of Health MalaysiaDepartment of Surgery, Queen Elizabeth Hospital, Ministry of Health MalaysiaDepartment of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia SabahDepartment of Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia SabahDepartment of Pathobiology and Medical Diagnostic, Faculty of Medicine and Health Sciences, Universiti Malaysia SabahDepartment of Surgery, Queen Elizabeth Hospital, Ministry of Health MalaysiaDepartment of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains MalaysiaAbstract Background Sialolipoma is a rare tumour which may arise from both major and minor salivary glands and has recently been described as a variant of salivary gland lipomatous lesions. Case presentation We report a 54-year-old male who presented with a 7-year history of large right anterior neck swelling. He was clinically euthyroid and had no compressive or infiltrative symptoms. He sought medical attention due to the discomfort exerted by the weight of the mass and was keen for excision. The swelling appeared like a goitre but physical examination proved otherwise. Imaging was suggestive of a benign tumour arising from the right parapharyngeal fossa. The mass was surgically excised and was noted to be adherent to part of the submandibular gland. Histopathological examination revealed a new variant of benign adipocytic tumour of salivary gland or sialolipoma arising from the submandibular gland. Besides being the largest sialolipoma to be reported, there are also no reports of giant submandibular sialolipomas masquerading as a huge goitre in appearance. Conclusion Submandibular sialolipomas can present in really large sizes and appear as a giant goitre. It is important to differentiate between benign lipomas from liposarcomas and tailor the management accordingly. Surgical enucleation is the preferred choice of treatment for these benign tumours with low recurrence rates.http://link.springer.com/article/10.1186/s12893-020-00787-8Case reportLipomaMinor salivary glandParotid glandSialolipoma |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sentilnathan Subramaniam Syamim Johan Firdaus Hayati Chiak Yot Ng Nornazirah Azizan Jitt Aun Chuah Irfan Mohamad |
spellingShingle |
Sentilnathan Subramaniam Syamim Johan Firdaus Hayati Chiak Yot Ng Nornazirah Azizan Jitt Aun Chuah Irfan Mohamad Giant submandibular sialolipoma masquerading as huge goitre: a case report BMC Surgery Case report Lipoma Minor salivary gland Parotid gland Sialolipoma |
author_facet |
Sentilnathan Subramaniam Syamim Johan Firdaus Hayati Chiak Yot Ng Nornazirah Azizan Jitt Aun Chuah Irfan Mohamad |
author_sort |
Sentilnathan Subramaniam |
title |
Giant submandibular sialolipoma masquerading as huge goitre: a case report |
title_short |
Giant submandibular sialolipoma masquerading as huge goitre: a case report |
title_full |
Giant submandibular sialolipoma masquerading as huge goitre: a case report |
title_fullStr |
Giant submandibular sialolipoma masquerading as huge goitre: a case report |
title_full_unstemmed |
Giant submandibular sialolipoma masquerading as huge goitre: a case report |
title_sort |
giant submandibular sialolipoma masquerading as huge goitre: a case report |
publisher |
BMC |
series |
BMC Surgery |
issn |
1471-2482 |
publishDate |
2020-06-01 |
description |
Abstract Background Sialolipoma is a rare tumour which may arise from both major and minor salivary glands and has recently been described as a variant of salivary gland lipomatous lesions. Case presentation We report a 54-year-old male who presented with a 7-year history of large right anterior neck swelling. He was clinically euthyroid and had no compressive or infiltrative symptoms. He sought medical attention due to the discomfort exerted by the weight of the mass and was keen for excision. The swelling appeared like a goitre but physical examination proved otherwise. Imaging was suggestive of a benign tumour arising from the right parapharyngeal fossa. The mass was surgically excised and was noted to be adherent to part of the submandibular gland. Histopathological examination revealed a new variant of benign adipocytic tumour of salivary gland or sialolipoma arising from the submandibular gland. Besides being the largest sialolipoma to be reported, there are also no reports of giant submandibular sialolipomas masquerading as a huge goitre in appearance. Conclusion Submandibular sialolipomas can present in really large sizes and appear as a giant goitre. It is important to differentiate between benign lipomas from liposarcomas and tailor the management accordingly. Surgical enucleation is the preferred choice of treatment for these benign tumours with low recurrence rates. |
topic |
Case report Lipoma Minor salivary gland Parotid gland Sialolipoma |
url |
http://link.springer.com/article/10.1186/s12893-020-00787-8 |
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