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Arch Otolaryngol Head Neck Surg. 2006;132:223.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Diagnosis: Spindle cell lipoma (SCL)

Several histologic variants of lipomas, eg, fibrolipoma, angiolipoma, myelolipoma, SCL, and pleomorphic, myxoid, atypical, and infiltrating lipomas, have been described in the literature. In 1975, Enzinger and Harvey¹ described SCLs as neoplasms of adipocytes. Thirteen percent of SCLs occur in the head and neck region, although SCLs account for only 1.5% of all lipomatous tumors.² Classically, they occur in elderly men and are typically found on the posterior aspect of the neck, shoulders, and back. Fifteen cases, however, have been reported in the oral cavity. Reports of tongue involvement are even rarer, and to our knowledge, only 7 cases have been reported in the literature.³

Like simple lipomas, SCLs are benign, with a low rate of local recurrence and no reported risk for aggressive behavior.² They are slow-growing lesions that produce local symptoms only by mass effect. Previous reports of tongue involvement have documented no functional deficits.³

Histologically, SCLs are . . . [Full Text of this Article]

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Arch Otolaryngol Head Neck Surg. 2006;132(2):221.
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