書誌事項
- タイトル別名
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- Symmetric lipomatosis of the tongue arising in a patient with alcoholic liver cirrhosis
- アルコールセイ カンコウヘン カンジャ ニ ショウジタ ゼツ タイショウセイ シボウ シュショウ ノ 1レイ
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Symmetric lipomatosis of the tongue （SLT） is a rare condition related to generalized lipidosis, often caused by chronic alcoholism. It is characterized by multiple lipomatous nodules symmetrically located within the tongue. We report a case of SLT arising in a 62-year-old man with a long history of alcoholic liver cirrhosis. He had multiple soft nodular protrusions on the left margin of the tongue for months, caused by involuntary self-inflicted tongue bites. Although computed tomography showed fatty masses on both sides of the tongue, no elevated tumor mass existed on the right margin. To prevent further tongue biting, the nodules were surgically removed. Histopathologically, the nodules consisted of mature adipose tissue lobules, which were clearly demarcated from the surrounding muscle tissue. Because of the patient’s lipidosis and unusual presentation of multiple lesions, the lesion was finally diagnosed to be SLT. A literature review showed 27 documented cases of SLT, mostly in Asian elderly men, and 73 ％ of all cases were associated with liver failure. SLT can be regarded as reactive hyperplasia of adipocytes in granulation tissue as a response to traumatic stimuli rather than neoplasia. Surgical intervention may be considered when the tongue lesions are traumatic and when perioperative management is indicated.
収録刊行物
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- 日本口腔外科学会雑誌
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日本口腔外科学会雑誌 57 (3), 119-123, 2011
社団法人 日本口腔外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282681507723904
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- NII論文ID
- 10030271637
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- NII書誌ID
- AN00189163
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- ISSN
- 21861579
- 00215163
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- NDL書誌ID
- 11052074
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
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- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可