Lipoma of the tongue – an uncommon location for a tumor

<b>Introduction:</b> The tongue, a complex organ essential for various functions such as speech and mastication, is predisposed to the development of tumors or other various lesions, though such occurrences are relatively rare. Intraoral lipomas, particularly those located on the tongue, are very uncommon.<b>Case study:</b> This report presents a case involving a 48-year-old male patient who presented with a painless swelling on the tongue, subsequently diagnosed as a spindle cell lipoma. The diagnostic process included a thorough physical examination and ultrasound imaging, ending in the surgical excision of the lesion. Histopathological examination confirmed the diagnosis of spindle cell lipoma.<b>Conclusions:</b> The infrequency of intraoral spindle cell lipomas emphasizes the necessity for accurate diagnosis and effective management strategies. The pathogenic mechanisms implicated in the development of intraoral lipomas are varied, encompassing theories related to obesity, metaplasia, and previous trauma. Treatment generally consists of surgical excision; however, new nonsurgical treatment modalities are currently under investigation. Our case highlights the significance of advanced diagnostic techniques and innovative treatment approaches.