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Atypical Presentation of Spindle Cell Lipoma: Diagnostic Challenges and Concise Review of Literature

<!DOCTYPE html> <!--[if IE 8]> <html class="ie ie8"> <![endif]--> <!--[if IE 9]> <html class="ie ie9"> <![endif]--> <!--[if gt IE 9]><!--> <html> <!--<![endif]--> <head> <meta charset="utf-8" /> <title>Atypical Presentation of Spindle Cell Lipoma: Diagnostic Challenges and Concise Review of Literature</title> <!-- favicon --> <link rel="shortcut icon" type="image/ico" href="./data/asdj/coversheet/favicon.ico" /> <!-- mobile settings --> <meta name="viewport" content="width=device-width, maximum-scale=1, initial-scale=1, user-scalable=0" /> <!--[if IE]><meta http-equiv='X-UA-Compatible' content='IE=edge,chrome=1'><![endif]--> <!-- user defined metatags --> <meta name="keywords" content="Spindle cell lipoma,CD 34,Intraoral,Buccal mucosa,Female" /> <meta name="description" content="Aim: This report aims to contribute to the current knowledge base by presenting a unique case of intra-oral Spindle cell lipoma (SCL) arising in an uncommon location, the buccal mucosa, and affecting a less frequent sex, female. SCL poses a significant diagnostic challenge due to its histological resemblance to malignant neoplasms. This is compounded by the scarcity of comprehensive clinical data. Consequently, we provide a concise literature review on SCL to contribute to a comprehensive understanding of its clinical features, optimal treatment approaches, and long-term outcomes. Materials and methods: We present a clinical case of a female patient with a buccal mass. The excised soft tissue underwent histochemical and immunohistochemical staining (CD34) for confirmatory diagnosis. A comprehensive review of relevant literature on SCL was conducted, focusing on diagnostic criteria, differential diagnoses, treatment modalities, and reported patient outcomes. Results: Here, we report a case of SCL arising in the buccal mucosa of a female patient. Histopathological examination with both histochemical and immunohistochemical staining (CD34) confirmed the diagnosis. Our review of the literature emphasizes the rarity of SCL, the diagnostic challenges it presents, and the limited understanding of its typical clinical course and prognosis. Conclusion: This report contributes to the existing knowledge on SCL by presenting a unique case with an unusual location and affecting a less commonly reported patient sex.聽 Further research is necessary to establish a more comprehensive understanding of SCL&#039;s clinical behavior, optimal treatment approaches, and long-term outcomes to improve patient management." /> <meta name="title" content="Atypical Presentation of Spindle Cell Lipoma: Diagnostic Challenges and Concise Review of Literature" /> <meta name="googlebot" content="NOODP" /> <meta name="citation_title" content="Atypical Presentation of Spindle Cell Lipoma: Diagnostic Challenges and Concise Review of Literature" /> <meta name="citation_author" content="Abdelrady, Aya Magdy" /> <meta name="citation_author_institution" content="Assistant lecturer at oral and maxillofacial surgery department at Future university" /> <meta name="citation_author" content="Shaker, Nariman Hesham" /> <meta name="citation_author_institution" content="Teaching assistant, Oral Medicine, Periodontology and Diagnosis Department, Faculty of Oral and Dental Medicine, Future University in Egypt" /> <meta name="citation_author" content="El-Kammar, Hala Ahmed" /> <meta name="citation_author_institution" content="Oral pathology, Faculty of Oral and Dental Medicine Future University in Egypt." /> <meta name="citation_abstract" content="Aim: This report aims to contribute to the current knowledge base by presenting a unique case of intra-oral Spindle cell lipoma (SCL) arising in an uncommon location, the buccal mucosa, and affecting a less frequent sex, female. SCL poses a significant diagnostic challenge due to its histological resemblance to malignant neoplasms. This is compounded by the scarcity of comprehensive clinical data. Consequently, we provide a concise literature review on SCL to contribute to a comprehensive understanding of its clinical features, optimal treatment approaches, and long-term outcomes. Materials and methods: We present a clinical case of a female patient with a buccal mass. The excised soft tissue underwent histochemical and immunohistochemical staining (CD34) for confirmatory diagnosis. A comprehensive review of relevant literature on SCL was conducted, focusing on diagnostic criteria, differential diagnoses, treatment modalities, and reported patient outcomes. Results: Here, we report a case of SCL arising in the buccal mucosa of a female patient. Histopathological examination with both histochemical and immunohistochemical staining (CD34) confirmed the diagnosis. Our review of the literature emphasizes the rarity of SCL, the diagnostic challenges it presents, and the limited understanding of its typical clinical course and prognosis. Conclusion: This report contributes to the existing knowledge on SCL by presenting a unique case with an unusual location and affecting a less commonly reported patient sex.聽 Further research is necessary to establish a more comprehensive understanding of SCL&#039;s clinical behavior, optimal treatment approaches, and long-term outcomes to improve patient management." /> <meta name="citation_id" content="385603" /> <meta name="citation_publication_date" content="2024/09/01" /> <meta name="citation_date" content="2024-09-01" /> <meta name="citation_journal_title" content="Ain Shams Dental Journal" /> <meta name="citation_issn" content="1110-7642" /> <meta name="citation_volume" content="35" /> <meta name="citation_issue" content="3" /> <meta name="citation_firstpage" content="383" /> <meta name="citation_lastpage" content="388" /> <meta name="citation_publisher" content="Ain Shams University, Faculty of Dentistry" /> <meta name="citation_doi" content="10.21608/asdj.2024.290447.1287" /> <meta name="DC.Identifier" content="10.21608/asdj.2024.290447.1287" /> <meta name="citation_abstract_html_url" content="https://asdj.journals.ekb.eg/article_385603.html" /> <meta name="citation_pdf_url" content="https://asdj.journals.ekb.eg/article_385603_3951ef159ce1fd0b6b7dc4c9ada27c20.pdf" /> <meta name="DC.Title" content="Atypical Presentation of Spindle Cell Lipoma: Diagnostic Challenges and Concise Review of Literature" /> <meta name="DC.Source" content="Ain Shams Dental Journal" /> <meta name="DC.Date" content="01/09/2024" /> <meta name="DC.Date.issued" content="2024-09-01" /> <meta name="DC.Format" content="application/pdf" /> <meta name="DC.Contributor" content="Abdelrady, Aya Magdy" /> <meta name="DC.Contributor" content="Shaker, Nariman Hesham" /> <meta name="DC.Contributor" content="El-Kammar, Hala Ahmed" /> <meta name="og:title" content="Atypical Presentation of Spindle Cell Lipoma: Diagnostic Challenges and Concise Review of Literature" /> <meta name="og:description" content="Aim: This report aims to contribute to the current knowledge base by presenting a unique case of intra-oral Spindle cell lipoma (SCL) arising in an uncommon location, the buccal mucosa, and affecting a less frequent sex, female. SCL poses a significant diagnostic challenge due to its histological resemblance to malignant neoplasms. This is compounded by the scarcity of comprehensive clinical data. Consequently, we provide a concise literature review on SCL to contribute to a comprehensive understanding of its clinical features, optimal treatment approaches, and long-term outcomes. Materials and methods: We present a clinical case of a female patient with a buccal mass. The excised soft tissue underwent histochemical and immunohistochemical staining (CD34) for confirmatory diagnosis. A comprehensive review of relevant literature on SCL was conducted, focusing on diagnostic criteria, differential diagnoses, treatment modalities, and reported patient outcomes. Results: Here, we report a case of SCL arising in the buccal mucosa of a female patient. Histopathological examination with both histochemical and immunohistochemical staining (CD34) confirmed the diagnosis. Our review of the literature emphasizes the rarity of SCL, the diagnostic challenges it presents, and the limited understanding of its typical clinical course and prognosis. Conclusion: This report contributes to the existing knowledge on SCL by presenting a unique case with an unusual location and affecting a less commonly reported patient sex.聽 Further research is necessary to establish a more comprehensive understanding of SCL&#039;s clinical behavior, optimal treatment approaches, and long-term outcomes to improve patient management." /> <meta name="og:url" content="https://asdj.journals.ekb.eg/article_385603.html" /> <!-- WEB FONTS : use %7C instead of | (pipe) --> <link href="./themes/base/front/assets/css/social-icon-font.css" rel="stylesheet" type="text/css" /> <!-- CORE CSS --> <link href="./themes/base/front/assets/plugins/bootstrap/css/bootstrap.min.css?v=0.02" rel="stylesheet" type="text/css" /> <link href="./themes/old/front/assets/css/header.css?v=0.05" rel="stylesheet" type="text/css" /> <link href="./themes/old/front/assets/css/footer.css" rel="stylesheet" type="text/css" /> <link href="./inc/css/essentials.css?v=0.2" rel="stylesheet" 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series/reports</p> <p class="padding-0" style="margin:12px -2px 0 -2px"><strong>Authors</strong></p> <ul class="list-inline list-inline-seprator margin-bottom-6 ltr"> <li class="padding-3"> <a href="./?_action=article&amp;au=851202&amp;_au=Aya+Magdy+Abdelrady">Aya Magdy Abdelrady</a> <sup><a href="mailto:ayaabdelrady@dent.asu.edu.eg" data-toggle="tooltip" data-placement="bottom" title="Email to Corresponding Author"><i class="fa fa-envelope-o" ></i></a></sup> <sup class="ltr"><a class=" text-green" href="https://orcid.org/0000-0002-4832-6566" data-toggle="tooltip" data-placement="bottom" data-html="true" title="ORCID: 0000-0002-4832-6566" target="_blank"><i class="ai ai-orcid size-13" ></i></a></sup> <sup><a href="#aff1" >1</a></sup> </li> <li class="padding-3"> <a href="./?_action=article&amp;au=852797&amp;_au=Nariman+Hesham+Shaker">Nariman Hesham Shaker</a> <sup class="ltr"><a class=" text-green" href="https://orcid.org/0000-0002-3645-4982" data-toggle="tooltip" data-placement="bottom" data-html="true" title="ORCID: 0000-0002-3645-4982" target="_blank"><i class="ai ai-orcid size-13" ></i></a></sup> <sup><a href="#aff2" >2</a></sup> </li> <li class="padding-3"> <a href="./?_action=article&amp;au=579856&amp;_au=Hala+Ahmed+El-Kammar">Hala Ahmed El-Kammar</a> <sup class="ltr"><a class=" text-green" href="https://orcid.org/0000-0002-1512-7624" data-toggle="tooltip" data-placement="bottom" data-html="true" title="ORCID: 0000-0002-1512-7624" target="_blank"><i class="ai ai-orcid size-13" ></i></a></sup> <sup><a href="#aff3" >3</a></sup> </li> </ul> <p class="margin-bottom-3 ltr" id="aff1"> <sup>1</sup> Assistant lecturer at oral and maxillofacial surgery department at Future university </p> <p class="margin-bottom-3 ltr" id="aff2"> <sup>2</sup> Teaching assistant, Oral Medicine, Periodontology and Diagnosis Department, Faculty of Oral and Dental Medicine, Future University in Egypt </p> <p class="margin-bottom-3 ltr" id="aff3"> <sup>3</sup> Oral pathology, Faculty of Oral and Dental Medicine Future University in Egypt. </p> <div class="margin-bottom-3 ltr" id="ar_doi" title="DOI"><i class="ai ai-doi size-25 text-orange"></i> <span dir="ltr"><a href="https://doi.org/10.21608/asdj.2024.290447.1287">10.21608/asdj.2024.290447.1287</a></span></div> <p style="margin:12px -2px 0 -2px"><strong>Abstract</strong></p> <div class="padding_abstract justify ltr"><strong>Aim:</strong> This report aims to contribute to the current knowledge base by presenting a unique case of intra-oral Spindle cell lipoma (SCL) arising in an uncommon location, the buccal mucosa, and affecting a less frequent sex, female. SCL poses a significant diagnostic challenge due to its histological resemblance to malignant neoplasms. This is compounded by the scarcity of comprehensive clinical data. Consequently, we provide a concise literature review on SCL to contribute to a comprehensive understanding of its clinical features, optimal treatment approaches, and long-term outcomes.<br /> <strong>Materials and methods:</strong> We present a clinical case of a female patient with a buccal mass. The excised soft tissue underwent histochemical and immunohistochemical staining (CD34) for confirmatory diagnosis. A comprehensive review of relevant literature on SCL was conducted, focusing on diagnostic criteria, differential diagnoses, treatment modalities, and reported patient outcomes.<br /> <strong>Results:</strong> Here, we report a case of SCL arising in the buccal mucosa of a female patient. Histopathological examination with both histochemical and immunohistochemical staining (CD34) confirmed the diagnosis. Our review of the literature emphasizes the rarity of SCL, the diagnostic challenges it presents, and the limited understanding of its typical clinical course and prognosis.<br /> <strong>Conclusion:</strong> This report contributes to the existing knowledge on SCL by presenting a unique case with an unusual location and affecting a less commonly reported patient sex.&nbsp; Further research is necessary to establish a more comprehensive understanding of SCL's clinical behavior, optimal treatment approaches, and long-term outcomes to improve patient management.</div> <p class="padding-0" style="margin:12px -2px 0 -2px"><strong>Keywords</strong></p> <ul class="block list-inline list-inline-seprator margin-bottom-6 ltr"> <li class="padding-3"> <a class="tag_a" href="./?_action=article&amp;kw=517907&amp;_kw=spindle+cell+lipoma" >spindle cell lipoma</a> </li> <li class="padding-3"> <a class="tag_a" href="./?_action=article&amp;kw=61618&amp;_kw=CD+34" >CD 34</a> </li> <li class="padding-3"> <a class="tag_a" href="./?_action=article&amp;kw=32680&amp;_kw=intraoral" >intraoral</a> </li> <li class="padding-3"> <a class="tag_a" href="./?_action=article&amp;kw=117377&amp;_kw=buccal+mucosa" >buccal mucosa</a> </li> <li class="padding-3"> <a class="tag_a" href="./?_action=article&amp;kw=2624&amp;_kw=female" >female</a> </li> </ul> <p class="padding-0" style="margin:12px -2px 0 -2px"><strong>Main Subjects</strong></p> <ul class="block list-inline list-inline-seprator margin-bottom-6"> <li class="padding-3"> <a href="./?_action=article&amp;sb=3636&amp;_sb=Histopathology" >Histopathology</a> </li> </ul> </div> <hr> </div> </div> <!-- /CENTER --> <!-- LEFT --> <div class="col-lg-3 col-md-3 col-sm-4"> <div class="panel panel-default my_panel-default margin-bottom-10"> <div class="panel-body ar_info_pnl" id="ar_info_pnl_cover"> <div id="pnl_cover"> <div class="row" > <div class="col-xs-6 col-md-6 nomargin-bottom"> <a href="javascript:loadModal('Ain Shams Dental Journal', 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class="panel panel-default my_panel-default panel-lists"> <div class="panel-heading"> <h3 class="panel-title"><a data-toggle="collapse" data-parent="#accordion" href="#ar_info_pnl_st"><i class="fa fa-bar-chart" aria-hidden="true"></i> Statistics</a></h3> </div> <div id="ar_info_pnl_st" class="panel-collapse collapse in"> <div class="panel-body ar_info_pnl"> <ul class="list-group list-group-bordered list-group-noicon" style="display:block !important;max-height:9999px"> <li class="list-group-item"><a class="tag_a">Article View: <i>102</i></a></li> <li class="list-group-item"><a class="tag_a">PDF Download: <i>81</i></a></li> </ul> </div> </div> </div> </div> <!-- /LEFT --> </div> </section> <div id="cite-apa" class="modal fade" tabindex="-1" role="dialog" aria-labelledby="myModalLabel" aria-hidden="true"> <div class="modal-dialog"> <div class="modal-content"> <!-- Modal Header --> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">&times;</span></button> <h4 class="modal-title" id="myModalLabel">APA</h4> </div> <!-- Modal Body --> <div class="modal-body"> <p>Abdelrady, A., Shaker, N., & El-Kammar, H. (2024). Atypical Presentation of Spindle Cell Lipoma: Diagnostic Challenges and Concise Review of Literature. <em>Ain Shams Dental Journal</em>, <em>35</em>(3), 383-388. doi: 10.21608/asdj.2024.290447.1287</p> </div> </div> </div> </div> <div id="cite-mla" class="modal fade" tabindex="-1" role="dialog" aria-labelledby="myModalLabel" aria-hidden="true"> <div class="modal-dialog"> <div class="modal-content"> <!-- Modal Header --> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">&times;</span></button> <h4 class="modal-title" id="myModalLabel">MLA</h4> </div> <!-- Modal Body --> <div class="modal-body"> <p>Aya Magdy Abdelrady; Nariman Hesham Shaker; Hala Ahmed El-Kammar. "Atypical Presentation of Spindle Cell Lipoma: Diagnostic Challenges and Concise Review of Literature", <em>Ain Shams Dental Journal</em>, 35, 3, 2024, 383-388. doi: 10.21608/asdj.2024.290447.1287</p> </div> </div> </div> </div> <div id="cite-harvard" class="modal fade" tabindex="-1" role="dialog" aria-labelledby="myModalLabel" aria-hidden="true"> <div class="modal-dialog"> <div class="modal-content"> <!-- Modal Header --> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">&times;</span></button> <h4 class="modal-title" id="myModalLabel">HARVARD</h4> </div> <!-- Modal Body --> <div class="modal-body"> <p>Abdelrady, A., Shaker, N., El-Kammar, H. (2024). 'Atypical Presentation of Spindle Cell Lipoma: Diagnostic Challenges and Concise Review of Literature', <em>Ain Shams Dental Journal</em>, 35(3), pp. 383-388. doi: 10.21608/asdj.2024.290447.1287</p> </div> </div> </div> </div> <div id="cite-vancouver" class="modal fade" tabindex="-1" role="dialog" aria-labelledby="myModalLabel" aria-hidden="true"> <div class="modal-dialog"> <div class="modal-content"> <!-- Modal Header --> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">&times;</span></button> <h4 class="modal-title" id="myModalLabel">VANCOUVER</h4> </div> <!-- Modal Body --> <div class="modal-body"> <p>Abdelrady, A., Shaker, N., El-Kammar, H. Atypical Presentation of Spindle Cell Lipoma: Diagnostic Challenges and Concise Review of Literature. <em>Ain Shams Dental Journal</em>, 2024; 35(3): 383-388. doi: 10.21608/asdj.2024.290447.1287</p> </div> </div> </div> </div> </div> </div> <!-- /MAIN CONTENT --> <!-- Subscribe --> <section class="alternate padding-xxs"> </section> <!-- /Subscribe --> <!-- FOOTER --> <div class="container"> <footer id="footer"> <div class="scrollup" id="scroll" href="#"><span></span></div> <div class="row"> <div class="col-md-2"> <!-- Links --> <h4 class="">Explore Journal</h4> <ul class="footer-links list-unstyled"> <li id="fli_home"><a href="./">Home</a></li> <li id="fli_about"><a href="./journal/about">About Journal</a></li> <li id="fli_Edb"><a href="./journal/editorial.board">Editorial Board</a></li> <li id="fli_submit"><a href="./author">Submit Manuscript</a></li> <li id="fli_contactus"><a href="./journal/contact.us">Contact Us</a></li> <li id="fli_glossary"><a href="./journal/glossary">Glossary</a></li> <li id="fli_order_hrdj"><a href="./journal/subscription.form">Hard Copy Subscription</a></li> <li id="fli_sitemap"><a href="./sitemap.xml?usr">Sitemap</a></li> </ul> <!-- /Links --> </div> <div class="col-md-3"> <!-- Latest News --> <h4 class="">Latest News</h4> <ul class="footer-posts list-unstyled"> </ul> <!-- /Latest News --> </div> <div class="col-md-3"> <!-- Footer Note --> <div></div> <!-- /Footer Note --> </div> <div class="col-md-4"> <!-- Newsletter Form --> <h4 class="">Newsletter Subscription</h4> <p>Subscribe to the journal newsletter and receive the latest news and updates</p> <form class="validate" action="" method="post" data-success="Subscription saved successfully." data-toastr-position="bottom-right"> <input type="hidden" name="_token" value="fd19d9f7f2771d5091c039664e9fd1bf3b1711c48db4e08f"/> <div class="input-group"> <span class="input-group-addon"><i class="fa fa-envelope"></i></span> <input type="email" id="email" name="email" required="required" class="form-control required sbs_email" placeholder="Enter your Email" oninvalid="this.setCustomValidity('Enter a valid email address.')" oninput="this.setCustomValidity('')"> <span class="input-group-btn"> <button class="btn btn-primary mybtn" type="submit">Subscribe</button> </span> </div> </form> <!-- /Newsletter Form --> <!-- Social Icons --> <div class="margin-top-20"> <a class="noborder" href="" target="_blank" class="social-icon social-icon-border social-facebook pull-left block" data-toggle="tooltip" data-placement="top" title="Facebook"> <i class="fa fa-facebook-square" aria-hidden="true"></i> </a> <a class="noborder" href="" target="_blank" class="social-icon social-icon-border social-facebook pull-left block" data-toggle="tooltip" data-placement="top" title="Twitter"> <i class="fa fa-twitter-square" aria-hidden="true"></i> </a> <a class="noborder" href="" target="_blank" class="social-icon social-icon-border social-facebook pull-left block" data-toggle="tooltip" data-placement="top" title="Linkedin"> <i class="fa fa-linkedin-square" aria-hidden="true"></i> </a> <a class="noborder" href="./ju.rss" class="social-icon social-icon-border social-rss pull-left block" data-toggle="tooltip" data-placement="top" title="Rss"><i class="fa fa-rss-square" aria-hidden="true"></i></a> </div> </div> </div> <div class="copyright" style="position: relative"> <ul class="nomargin list-inline mobile-block"> <li>&copy; 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