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Puricelli E, Barreiro BOB, Quevedo AS, Ponzoni D. Occurrence of dermoid cyst in the floor of the mouth: the importance of differential diagnosis in pediatric patients. J Appl Oral Sci 2017; 25:341-345. [PMID: 28678954 PMCID: PMC5482258 DOI: 10.1590/1678-7757-2016-0411] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2016] [Accepted: 11/03/2016] [Indexed: 12/24/2022] Open
Abstract
Lesions in the floor of the mouth can be a challenging diagnosis due to the variety of pathological conditions that might be found in this area. Within a broad range of lesions, attention has to be addressed to those that require specific management, such as a dermoid cyst (DC) and a ranula. Especially in pediatric patients, in whom the failure of diagnosis can postpone the correct treatment and cause sequelae later in life. DC, a developmental anomaly, is managed primarily by surgical resection. On the other hand, ranula is a pseudocyst that may be treated by marsupialization. This article reports a large and painful lesion in the floor of the mouth in a pediatric patient. With a diagnostic hypothesis of ranula, two surgical interventions were performed, but there were recurrences of the lesion. Subsequently, the patient was referred to the Oral and Maxillofacial Surgery Unit for re-evaluation. Computed tomography showed a semi-transparent image suggesting a cystic formation. Another surgical procedure was performed where the lesion was completely removed. Anatomopathological analysis confirmed the diagnosis of DC. The five-year follow-up showed no signs of recurrence. This article indicates that although DC in the floor of the mouth is rare, it should be considered in the differential diagnosis of other diseases in this area. This precaution may be particularly important in the following circumstances: 1) Similar lesions that have different therapeutic approaches and, 2) To prevent future sequelae in pediatric patients.
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Affiliation(s)
- Edela Puricelli
- Universidade Federal do Rio Grande do Sul; Irmandade da Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, RS, Brasil
| | - Bernardo Ottoni Braga Barreiro
- Universidade Federal do Rio Grande do Sul, Faculdade de Odontologia, Curso de Especialização em Cirurgia e Traumatologia Buco-maxilo-faciais. Porto Alegre, RS, Brasil
| | - Alexandre Silva Quevedo
- Universidade Federal do Rio Grande do Sul, Faculdade de Odontologia, Porto Alegre, RS, Brasil
| | - Deise Ponzoni
- Universidade Federal do Rio Grande do Sul, Faculdade de Odontologia; Hospital de Clínicas de Porto Alegre, Unidade de Cirurgia Buco-maxilo-facial, Porto Alegre, RS, Brasil
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Costa FWG, Carvalho FSR, Chaves FN, de Almeida S, Alves APNN, Patrocínio RMDSV, Sousa FB, Pereira KMA. Epidermoid Cyst Arising in the Buccal Mucosa: Case Report and Literature Review. Acta Stomatol Croat 2016; 49:65-73. [PMID: 27688388 DOI: 10.15644/asc49/1/9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
Abstract
Epidermoid cysts are benign subcutaneous lesions, and the large majority of these cysts affect the floor of the mouth; however, the buccal mucosa is not a usual site of occurrence. To date, only 5 articles have been published with 6 cases of epidermoid cysts arising in the buccal mucosa. Therefore, the aim of this study was to describe the clinical, histopathological and immunohistochemical features of a case of epidermoid cyst located in the buccal mucosa. To our knowledge, this is the first report of an oral epidermoid cyst describing an intense foreign body gigantocellular inflammatory reaction against epithelial keratin component. Although the usual diagnosis for epidermoid cysts is based on histopathological findings, this case report addresses novel information regarding to the immunohistochemical pattern that may be found in these lesions.
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Affiliation(s)
| | | | - Filipe Nobre Chaves
- Postgraduate Student in Clinical Dentistry, Division of Oral Pathology, Federal University of Ceará, Fortaleza, Brazil
| | - Stephanie de Almeida
- Division of Oral Pathology, Federal University of Ceará Campus Sobral, Sobral, Brazil
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Abstract
Dermoid cysts are benign lesions of congenital origin, and those in the head and neck region are usually present as a midline neck mass. They rarely appear in the lateral neck. This article describes the clinical presentation and histopathologic features of an extremely rare case of lateral dermoid cyst included within the submandibular gland in a 58-year-old man. The etiology of the cyst is also discussed.
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Costa FWG, Carvalho FSR, Chaves FN, de Almeida S, Alves APNN, Patrocínio RMDSV, Sousa FB, Pereira KMA. Epidermoid Cyst Arising in the Buccal Mucosa: Case Report and Literature Review. Acta Stomatol Croat 2014; 48:296-304. [PMID: 27688379 DOI: 10.15644/asc48/4/8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
Abstract
Epidermoid cysts are benign subcutaneous lesions, and the large majority of these cysts affect the floor of the mouth; however, the buccal mucosa is not the usual site of occurrence. To date, only 5 articles have been published with 6 cases of epidermoid cysts arising in the buccal mucosa. Therefore, the aim of this study was to describe the clinical, histopathological and immunohistochemical features of a case of an epidermoid cyst located in the buccal mucosa. To our knowledge, this is the first report of an oral epidermoid cyst describing an intense foreign body gigantocellular inflammatory reaction against epithelial keratin component. Although the usual diagnosis for epidermoid cysts is based on histopathological findings, this case report addresses novel information regarding the immunohistochemical pattern which may be found in these lesions.
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Affiliation(s)
| | | | | | - Stephanie de Almeida
- Division of Oral Pathology, Federal University of Ceará Campus Sobral, Sobral, Brazil
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Yoshida N, Kodama K, Iino Y. Sublingual epidermoid cyst presenting with distinctive magnetic resonance imaging findings. Clin Pract 2014; 4:664. [PMID: 25332766 PMCID: PMC4202188 DOI: 10.4081/cp.2014.664] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2014] [Revised: 07/21/2014] [Accepted: 08/04/2014] [Indexed: 11/22/2022] Open
Abstract
A case of sublingual epidermoid cyst presenting distinctive magnetic resonance imaging (MRI) findings is described. A 39-year-old man presented to our hospital with a three months progressive left submandibular swelling, difficulty moving his tongue, and snoring. Preoperative evaluation with MRI and fine needle aspiration cytology (FNAC) revealed that the heterogeneous cystic lesion contained the squamous cells, which is compatible with ectodermal tissue. The mass was located above the mylohyoid muscle and spread to the pharyngeal space. By considering the size, infection history, patient age, and location, the cyst was completely resected under general anesthesia via cervical approach without any complication. Histopathologically, the cyst wall was lined by stratified squamous epithelium with no skin appendage, suggesting an epidermoid cyst. Ultrasound (US), MRI and FNAC were very useful of the preoperative diagnosis for oral and sublingual lesion. The postoperative course was uneventful and without recurrence after 24 months. This case showed that epidermoid cysts formed the rarely heterogeneous cystic tumor and it underlined usefulness of preoperative diagnosis, such as US, MRI and FNAC for oral and sublingual tumor.
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Affiliation(s)
- Naohiro Yoshida
- Department of Otolaryngology, Jichi Medical University Saitama Medical Center , Saitama, Japan
| | - Kozue Kodama
- Department of Otolaryngology, Jichi Medical University Saitama Medical Center , Saitama, Japan
| | - Yukiko Iino
- Department of Otolaryngology, Jichi Medical University Saitama Medical Center , Saitama, Japan
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Epidermoid cyst arising in the submandibular region. Case Rep Med 2013; 2013:419289. [PMID: 24191161 PMCID: PMC3804295 DOI: 10.1155/2013/419289] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2013] [Accepted: 09/12/2013] [Indexed: 11/17/2022] Open
Abstract
Dermoid and epidermoid cysts in the oral cavity frequently develop in the midline or sublingual region of the floor of the mouth. Here, we report a rare case of an epidermoid cyst in the submandibular region. The patient was a 69-year-old man with a chief complaint of a mass in the right submandibular region. A mobile, elastic, relatively soft mass without tenderness was palpable in this region. The skin covering the mass was normal. MRI showed a cystic lesion measuring 3.5 × 3.0 cm under the platysma in the right submandibular region. Cystectomy was performed under general anesthesia. There was no adhesion to surrounding tissue and the right submandibular gland was preserved. The surgical specimen was cystic and contained soybean cord-like materials. Histopathologically, the cyst wall was lined by stratified squamous epithelium with no skin appendage, suggesting an epidermoid cyst. The postoperative course was uneventful and without recurrence after 28 months.
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Pan M, Nakamura YC, Clark M, Eisig S. Intraoral dermoid cyst in an infant: a case report. J Oral Maxillofac Surg 2010; 69:1398-402. [PMID: 20739110 DOI: 10.1016/j.joms.2010.02.060] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2010] [Accepted: 02/16/2010] [Indexed: 11/28/2022]
Affiliation(s)
- Marc Pan
- College of Dental Medicine, Columbia University, New York, NY, USA
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Abstract
OBJECTIVES We report the common surgical approaches, incidence of sinus tracts, and recurrence rates of floor of mouth dysontogenic (epidermoid, dermoid, and teratoid) cysts in the pediatric population. METHODS Data were derived from PubMed, Medline, Embase, Google Scholar, and manual searches. Three cases from the senior author's (J.P.M.) practice were included. All English-language studies consisting of floor of mouth dysontogenic cysts were included. Case reports of tongue dysontogenic cysts, mandibular dysontogenic cysts, maxillary dysontogenic cysts, and dysontogenic cysts in the neck below the hyoid bone were excluded. RESULTS There are 198 case reports, including those presented here, of floor of mouth dysontogenic cysts. They are more common in male patients (55.1%), and the most common location is in the sublingual space (104 or 52.5%). Most floor of mouth dysontogenic cysts can be excised by an intraoral approach. There are 5 reported cases in the literature of recurrent dysontogenic cysts and 11 cases of multiple floor of mouth dysontogenic cysts. CONCLUSIONS Floor of mouth dysontogenic cysts most commonly present in the sublingual space, and most can be excised by an intraoral approach. Multiple dysontogenic cysts often require a combination of intraoral and extraoral approaches. Recurrence of a dysontogenic cyst may be secondary to a tract not identified at the time of surgery.
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Affiliation(s)
- S Danielle MacNeil
- Division of Pediatric Otolaryngology, Department of Surgery, British Columbia Children's Hospital, University of British Columbia, Vancouver, Canada
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Dermoid cyst of the floor of the mouth with abundant hair: a case report. J Maxillofac Oral Surg 2010; 8:388-9. [PMID: 23139552 DOI: 10.1007/s12663-009-0094-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2009] [Accepted: 11/28/2009] [Indexed: 10/19/2022] Open
Abstract
Dermoid cysts are developmental cysts and considered to develop from enslavement of epithelial debris in the midline during closure of the mandibular and hyoid brachial arches. These cysts are painless, slow growing and most commonly occur in young adults with no gender predilection. They are uncommon in the head and neck region. Oral dermoid cysts are found usually in the submental or sublingual triangle in variable relation to mylohyoid, geniohyoid, and genioglossus muscle. The cyst is lined by epidermis like epithelium and contains dermal adnexal structures in the cyst wall. We report a case of dermoid cyst arising in the sublingual region of a young adult male with abundance of hair which is rare finding.
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Muenscher A, Diegel T, Jaehne M, Ussmüller J, Koops S, Sanchez-Hanke M. Benign and malignant salivary gland diseases in children. Auris Nasus Larynx 2009; 36:326-31. [DOI: 10.1016/j.anl.2008.07.006] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2007] [Revised: 07/24/2008] [Accepted: 07/30/2008] [Indexed: 11/26/2022]
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Graham RM, Thomson EF, Woodwards RT, Sloan P. Lateral dermoid cyst. Br J Oral Maxillofac Surg 2008; 46:131-2. [DOI: 10.1016/j.bjoms.2006.10.015] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/29/2006] [Indexed: 11/29/2022]
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Armstrong JE, Darling MR, Bohay RN, Cobb G, Lawen D, Daley TD. Trans-geniohyoid dermoid cyst: considerations on a combined oral and dermal surgical approach and on histogenesis. J Oral Maxillofac Surg 2006; 64:1825-30. [PMID: 17113454 DOI: 10.1016/j.joms.2006.03.025] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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