Spindle cell lipoma of the buccal mucosa: Uncommon finding in an older adult

ObjectiveThis article reports a case of a longstanding, slowly enlarging intraoral spindle cell lipoma (SCL) that had become increasingly painful during mastication. BackgroundThe SCL represents an uncommon variant of the conventional lipoma. There is limited information regarding this lesion in the gerodontologic literature. Materials and MethodsA 68-year-old patient underwent an excisional biopsy of a 9-mm slightly yellow papule along the buccal mucosa. ResultsThe surgical specimen was composed of mature adipocytes with abundant spindle cell populations and was diagnosed as a SCL. ConclusionsTimely removal of the SCL may reduce the incidence of clinical and surgical complications, particularly in older adults. The management of a SCL is complete excision, and recurrence is rare. Lesions must be carefully distinguished microscopically from its malignant counterpart, the spindle cell liposarcoma.