# Oral Elastofibromatous Lesion on the Tip of the Tongue: A Case Report and a Literature Review

## TL;DR

This paper reports a rare case of a benign oral lesion on the tongue and reviews similar cases in the literature.

## Contribution

The study contributes a new clinical case of oral elastofibromatous lesion and a literature review of similar cases.

## Key findings

- The lesion was successfully excised and showed no recurrence after nearly five years.
- Histopathological analysis confirmed the diagnosis of oral elastofibromatous lesion.
- A review of 14 similar cases in the English literature is provided.

## Abstract

Oral elastofibromatous lesions (OEFLs) are rare benign tumor-like lesions of the oral cavity, which are characterized by marked hyperplasia of elastic fibers. A case of OEFL on the tip of the tongue of an 83-year-old male is presented. The lesion was a painless, yellowish-white, smooth-surfaced, elastic-soft, well-demarcated, slightly flattened, round plaque-like mucosal lesion, measuring about 4 x 3 mm. The lesion was excised under local anesthesia with the clinical diagnosis of an irritation fibroma and a benign tumor including a lipoma, and diagnosed histopathologically as an OEFL. Four years and nine months after the surgery, no abnormality was observed at the surgical site, and there were no signs of recurrence. In addition to a report of the case, the clinical and histopathological features of 14 similar cases reported in the English literature were reviewed.