Benign symmetric lipomatosis of the tongue in Madelung's disease

被引:36
作者
Lopez-Ceres, Ana [1 ]
Aguilar-Lizarralde, Yolanda [1 ]
Villalobos Sanchez, Aurora [1 ]
Prieto Sanchez, Elisa [1 ]
Alvarez, Valiente [1 ]
机构
[1] Hosp Carlos Haya, Dept Oral & Maxillofacial Surg, Malaga, Spain
关键词
Madelung's disease; multiple symmetrical lipomatosis; tongue lipomatosis;
D O I
10.1016/j.jcms.2006.06.003
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Introduction: Madelung's disease is characterized by benign, non-encapsulated accumulations of fat in a symmetrical manner. Although rare, symmetrical lipomatosis involving the tongue exclusively has been previously reported. Here another case is presented of Madelung's disease involving the tongue. Case report: A 57-year-old woman was referred with the diagnosis of Madelung's disease, with slight difficulty in swallowing, dysarthria and dyspnoea while sleeping due to tongue swelling. Clinical examination revealed multiple, large disfiguring soft masses involving neck, upper arms and hips. There was enlargement of the tongue with bilateral protrusions and buccal displacement of the teeth. The masses were soft and non-tender. Bilateral partial glossectomy was performed under general anaesthesia. Histology revealed adipose tissue, interspersed within the lingual musculature. Discussion: Lipomas in Madelung's disease are characterized by multiplicity, non-encapsulation and invasiveness. Over the years, the fat deposits enlarge significantly, become cosmetically deforming, and cause dyspnoea and dysphagia in advanced cases. The aetiology of benign symmetrical lipomatosis is still unknown. It is often accompanied by liver dysfunction probably due to alcoholism. Treatment is limited to surgical removal of the fatty tissue, in patients with a severe cosmetic deformity causing psychological stress, and in patients with dyspnoea or dysphagia if there is restriction of the aerodigestive tract. (C) 2006 European Association for Cranio-Maxillofacial Surgery.
引用
收藏
页码:489 / 493
页数:5
相关论文
共 22 条
[1]   Madelung's disease: Case report and discussion of treatment options [J].
Adamo, C ;
Vescio, G ;
Battaglia, M ;
Gallelli, G ;
Musella, S .
ANNALS OF PLASTIC SURGERY, 2001, 46 (01) :43-45
[2]   BENIGN SYMMETRICAL LIPOMATOSIS (MADELUNGS DISEASE) [J].
ARGENTA, LC ;
MCCLATCHEY, KD ;
FERRELL, WJ ;
NEWMAN, MH .
HEAD & NECK SURGERY, 1981, 3 (03) :240-243
[3]  
Brodie BC, 1846, CLIN LECT SURG DELIV, P201
[4]   Head and neck cancers associated with Madelung's disease [J].
Chan, ESY ;
Ahuja, AT ;
King, AD ;
Lau, WY .
ANNALS OF SURGICAL ONCOLOGY, 1999, 6 (04) :395-397
[5]  
Desmond AD, 1944, BRIT J SURG, V35, P210
[6]  
DUVAR M, 1957, B MEM SOC MED HOP P, V53, P174
[7]   MULTIPLE SYMMETRIC LIPOMATOSIS - AN UPDATED CLINICAL REPORT [J].
ENZI, G .
MEDICINE, 1984, 63 (01) :56-64
[8]  
Ghislain PD, 1999, ANN DERMATOL VENER, V126, P147
[9]   Benign symmetric lipomatosis (Madelung's disease):: Case reports and current management [J].
González-García, R ;
Rodriguez-Campo, FJ ;
Sastre-Pérez, J ;
Muñoz-Guerra, MF .
AESTHETIC PLASTIC SURGERY, 2004, 28 (02) :108-112
[10]   Benign symmetric lipomatosis (Madelung's disease) [J].
Josephson, GD ;
Sclafani, AP ;
Stern, J .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 1996, 115 (01) :170-171