Lipoma is a benign soft tissue mesenchymal tumour, slow growing, usually involving the trunk and proximal parts of extremities and occasionally found within the oral cavity. Intra-oral lipomas are rare and so is its variant fibrolipoma. Buccal mucosa, tongue, the floor of mouth, palate, gingiva, lips and retromolar area are commonly affected. The tongue which is devoid of fat cells is a rare site for lipoma. Here, we report a 36-year-old female patient with a complaint of a painless swelling on the anterior tongue which was present for 5 years with a gradual increase in size, difficulty in speaking, chewing food and having an aesthetic concern. Surgical excision was done and histopathologically diagnosed as fibrolipoma of the tongue. Although rare but fibrolipoma should be considered as one of the differential diagnoses among the lesions affecting the tongue.
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