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Manlove AE, Quintana EN, Cuellar LM, Linnebur AM. Benign Intraoral Soft Tissue Lesions in Children. Oral Maxillofac Surg Clin North Am 2024; 36:265-282. [PMID: 38395668 DOI: 10.1016/j.coms.2024.01.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2024]
Abstract
Benign intraoral soft tissue pathology in pediatric patients includes developmental, traumatic, inflammatory, and infectious lesions. Common pathology includes gingival cysts, mucoceles, fibromas, and parulis. Less common lesions include peripheral ossifying fibromas, congenital epulis of the newborn, and congenital mandibular duct atresia. Most of these lesions present at painless masses but can have significant effects on children and their caregivers. Although these lesions are generally harmless, evaluation and treatment is necessary for appropriate management and health of the child.
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Affiliation(s)
- Ashley E Manlove
- Carle Illinois College of Medicine, Carle Cleft and Craniofacial Team, Carle Foundation Hospital, Urbana, IL, USA.
| | - Erik N Quintana
- Division of Oral and Maxillofacial Surgery, Carle Foundation Hospital, Urbana, IL, USA
| | - Leticia M Cuellar
- Division of Oral and Maxillofacial Surgery, Carle Foundation Hospital, Urbana, IL, USA
| | - Alexis M Linnebur
- Arnold Palmer Hospital for Children - Orlando Health, 207 W. Gore Street, 3Road Floor, Suite.302, Orlando, FL 32806, USA
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2
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Yeom S, Lee DH, Lim SC. Dermoid Cysts on the Floor of the Mouth. J Craniofac Surg 2024; 35:e487-e488. [PMID: 38861326 DOI: 10.1097/scs.0000000000010383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2024] [Accepted: 05/08/2024] [Indexed: 06/13/2024] Open
Abstract
OBJECTIVE The authors analyzed the clinical features and treatment results of surgical patients with a final diagnosis of dermoid cyst on the floor of the mouth over 14 years at our hospital. PATIENTS AND METHODS A total of 5 patients with a final diagnosis of dermoid cyst of the floor of the mouth from January 2010 to December 2023 were enrolled. RESULTS All patients complained of swelling in the submentum or floor of the mouth. The mean tumor size was 4.2±1.0 cm. All patients underwent complete surgical resection. A transcervical approach was performed in 3 patients, and an intraoral approach was implemented in 2 patients. There were no major complications after surgery with either method. The follow-up period was 71.4±75.7 months. There was no disease recurrence during follow-up. CONCLUSION Dermoid cysts rarely occur on the floor of the mouth but should be considered in the differential diagnosis of other oral cavity tumors. Dermoid cysts on the floor of the mouth can be safely removed using the current transoral approach without scarring or recurrence.
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Affiliation(s)
- Sujung Yeom
- Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School & Chonnam National University Hwasun Hospital, Jeonnam, Korea
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3
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Sauer A, Abrol A, Cabrera CI, Shah J. A Pediatric Lateral Submental Mass: A Rare Presentation of Dermoid Cyst. EAR, NOSE & THROAT JOURNAL 2023; 102:NP392-NP394. [PMID: 34034545 DOI: 10.1177/01455613211019787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Dermoid cysts are benign cutaneous neoplasms that contain germ cells from the ectoderm and mesoderm. Approximately 70% are diagnosed during childhood before the age of 5. Although they can present throughout the body, the prevalence is 7% for those arising from the head and neck. These lesions present primarily as midline masses and are classified as sublingual, submental, or overlapping depending on their relationship with the muscles of the floor of mouth. A 10-year-old female presented with a 2-week history of right submental swelling. She denied pain, dysphagia, odynophagia, or respiratory distress. Physical examination showed nontender fullness of the submental region without erythema or induration and no palpable cervical lymphadenopathy. Ultrasound showed an oval-shaped cystic mass measuring 4.8 × 4.0 × 2.6 cm. After a course of clindamycin, a computed tomography was obtained which showed a right 4.5 × 4.0 × 2.6 cm fluid filled lesion, within the right lateral floor of mouth. Intraoral resection was performed and the mass was freed from the geniohyoid and mylohyoid. Histopathology was consistent with a dermoid cyst. Submental masses have a broad differential, but rarely are they dermoid cysts if they arise lateral to the midline. With appropriate diagnosis and total surgical excision, patients and their families can be reassured in similar cases.
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Affiliation(s)
- Adam Sauer
- Case Western Reserve University School of Medicine, Health Education Campus, Cleveland, OH, USA
| | - Anish Abrol
- Department of Otolaryngology-Head & Neck Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA
| | - Claudia I Cabrera
- Department of Otolaryngology-Head & Neck Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA
| | - Jay Shah
- Department of Otolaryngology-Head & Neck Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA
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Birari Zerehpoosh F, Khajavi M, Baradaran M, Baradaran M. A case of congenital teratoid cyst with respiratory epithelia of rare sites; atypical MRI finding. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2022. [DOI: 10.1016/j.epsc.2022.102317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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5
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Patel D, Ostrowski TJ, Faraz M, Gildener-Leapman N. Marsupialization of a Floor-of-Mouth Dermoid Cyst to Temporize Airway Distress. Cureus 2022; 14:e22781. [PMID: 35371884 PMCID: PMC8971117 DOI: 10.7759/cureus.22781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/01/2022] [Indexed: 11/11/2022] Open
Abstract
Dermoid cysts are benign masses of embryologic origin that can present in various anatomical locations throughout the human body. This article presents the case of a 30-year-old male who presented to our emergency department with complaints of tongue swelling accompanied by worsening dysphagia and dysphonia in the context of a chronic, midline mass in the floor of the mouth. Computed tomography (CT) imaging and surgical pathology of the mass ultimately revealed findings consistent with a dermoid cyst causing inferior displacement of the mylohyoid muscle. Initial management consisted of bedside drainage to temporize the airway, with marsupialization and in-office follow-up. Definitive treatment was achieved with surgical excision at a later date.
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6
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Dammak N, Chokri A, Slim A, Bellalah A, Bouguezzi A, Sioud S, Hentati H, Selmi J. Epidermoid cyst of the buccal mucosa-An uncommon entity: Case report and literature review. Clin Case Rep 2021; 9:e04853. [PMID: 34584716 PMCID: PMC8455959 DOI: 10.1002/ccr3.4853] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2021] [Revised: 09/01/2021] [Accepted: 09/06/2021] [Indexed: 11/23/2022] Open
Abstract
Epidermoid cyst of the buccal mucosa is rare. Nevertheless, it must be included in the differential diagnosis of swelling in this area. The diagnosis is based on anatomopathological examination. The surgical enucleation is the gold standard of treatment.
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Affiliation(s)
- Nouha Dammak
- Oral MedicineOral Surgery DepartmentUniversity Clinic of Dental MedicineMonastirTunisia
- Oral Health and Oro‐Facial Rehabilitation Laborotary (LR12ES11)Faculty of Dental MedicineUniversity of MonastirMonastirTunisia
| | - Abdellatif Chokri
- Oral MedicineOral Surgery DepartmentUniversity Clinic of Dental MedicineMonastirTunisia
- Oral Health and Oro‐Facial Rehabilitation Laborotary (LR12ES11)Faculty of Dental MedicineUniversity of MonastirMonastirTunisia
| | - Afef Slim
- Oral MedicineOral Surgery DepartmentUniversity Clinic of Dental MedicineMonastirTunisia
- Oral Health and Oro‐Facial Rehabilitation Laborotary (LR12ES11)Faculty of Dental MedicineUniversity of MonastirMonastirTunisia
| | - Ahlem Bellalah
- Department of PathologyFattouma Bourguiba University Hospital of MonastirMonastirTunisia
| | - Adel Bouguezzi
- Oral MedicineOral Surgery DepartmentUniversity Clinic of Dental MedicineMonastirTunisia
- Oral Health and Oro‐Facial Rehabilitation Laborotary (LR12ES11)Faculty of Dental MedicineUniversity of MonastirMonastirTunisia
| | - Sameh Sioud
- Oral MedicineOral Surgery DepartmentUniversity Clinic of Dental MedicineMonastirTunisia
- Oral Health and Oro‐Facial Rehabilitation Laborotary (LR12ES11)Faculty of Dental MedicineUniversity of MonastirMonastirTunisia
| | - Hajer Hentati
- Oral MedicineOral Surgery DepartmentUniversity Clinic of Dental MedicineMonastirTunisia
- Oral Health and Oro‐Facial Rehabilitation Laborotary (LR12ES11)Faculty of Dental MedicineUniversity of MonastirMonastirTunisia
| | - Jamil Selmi
- Oral MedicineOral Surgery DepartmentUniversity Clinic of Dental MedicineMonastirTunisia
- Oral Health and Oro‐Facial Rehabilitation Laborotary (LR12ES11)Faculty of Dental MedicineUniversity of MonastirMonastirTunisia
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7
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Tan B, Tang Q, Zhong Y, Wei Y, He L, Wu Y, Wu J, Liao J. Biomaterial-based strategies for maxillofacial tumour therapy and bone defect regeneration. Int J Oral Sci 2021; 13:9. [PMID: 33727527 PMCID: PMC7966790 DOI: 10.1038/s41368-021-00113-9] [Citation(s) in RCA: 74] [Impact Index Per Article: 24.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2020] [Revised: 12/13/2020] [Accepted: 01/17/2021] [Indexed: 02/07/2023] Open
Abstract
Issues caused by maxillofacial tumours involve not only dealing with tumours but also repairing jaw bone defects. In traditional tumour therapy, the systemic toxicity of chemotherapeutic drugs, invasive surgical resection, intractable tumour recurrence, and metastasis are major threats to the patients' lives in the clinic. Fortunately, biomaterial-based intervention can improve the efficiency of tumour treatment and decrease the possibility of recurrence and metastasis, suggesting new promising antitumour therapies. In addition, maxillofacial bone tissue defects caused by tumours and their treatment can negatively affect the physiological and psychological health of patients, and investment in treatment can result in a multitude of burdens to society. Biomaterials are promising options because they have good biocompatibility and bioactive properties for stimulation of bone regeneration. More interestingly, an integrated material regimen that combines tumour therapy with bone repair is a promising treatment option. Herein, we summarized traditional and biomaterial-mediated maxillofacial tumour treatments and analysed biomaterials for bone defect repair. Furthermore, we proposed a promising and superior design of dual-functional biomaterials for simultaneous tumour therapy and bone regeneration to provide a new strategy for managing maxillofacial tumours and improve the quality of life of patients in the future.
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Affiliation(s)
- Bowen Tan
- grid.13291.380000 0001 0807 1581State Key Laboratory of Oral Diseases & National Clinical Research Centre for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Quan Tang
- grid.13291.380000 0001 0807 1581State Key Laboratory of Oral Diseases & National Clinical Research Centre for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Yongjin Zhong
- grid.13291.380000 0001 0807 1581State Key Laboratory of Oral Diseases & National Clinical Research Centre for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Yali Wei
- grid.13291.380000 0001 0807 1581State Key Laboratory of Oral Diseases & National Clinical Research Centre for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Linfeng He
- grid.13291.380000 0001 0807 1581State Key Laboratory of Oral Diseases & National Clinical Research Centre for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Yanting Wu
- grid.13291.380000 0001 0807 1581State Key Laboratory of Oral Diseases & National Clinical Research Centre for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Jiabao Wu
- grid.13291.380000 0001 0807 1581State Key Laboratory of Oral Diseases & National Clinical Research Centre for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Jinfeng Liao
- grid.13291.380000 0001 0807 1581State Key Laboratory of Oral Diseases & National Clinical Research Centre for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu, China
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8
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Lafuente-Ibáñez de Mendoza I, Aguirre-Urizar JM, Villatoro-Ugalde V, Magaña-Quiñones JJ, Lana-Ojeda J, Mosqueda-Taylor A. Peripheral odontogenic keratocyst: Clinicopathological and immunohistochemical characterization. Oral Dis 2021; 28:1198-1206. [PMID: 33682271 DOI: 10.1111/odi.13834] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Revised: 02/04/2021] [Accepted: 02/28/2021] [Indexed: 10/22/2022]
Abstract
OBJECTIVE The aim of this study is to present and discuss the salient clinicopathological features, differential diagnosis and epithelial immunohistochemical profile of three additional cases of peripheral odontogenic keratocyst (POKC) and to present a review of the literature. POKC is a locally aggressive odontogenic lesion. The peripheral variant of the odontogenic keratocyst is rare and more frequently located in anterior gingiva. MATERIAL AND METHODS We present the clinicopathological features of 3 new cases of POKC (2 women and 1 man; age range: 14-74 years). Immunohistochemical study included CK7, CK14, CK19 and Ki-67, and a systematic review of the literature was performed in PubMed, Scopus and Web of Science databases. RESULTS All cases were located in the anterior gingiva (2 in maxilla and 1 mandible), and none corresponded to Gorlin-Goltz syndrome. High expression of CK14 was seen in all cases, with CK19 and CK7 been only focally positive. The expression of Ki-67 was located in the basal and parabasal cells in all cases. CONCLUSIONS POKC is a rare gingival lesion that seems to originate from remnants of dental lamina or from the basal cells of the gingival epithelium and present a similar histopathology as compared to intraosseous OKC.
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Affiliation(s)
| | - José Manuel Aguirre-Urizar
- Unit of Oral Pathology and Medicine, Department of Stomatology II, University of the Basque Country/ EHU, Leioa, Spain
| | | | | | - Jessica Lana-Ojeda
- Faculty of Dentistry, Technological University of Mexico, Marina-Cuitláhuac Campus, Mexico City, Mexico
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9
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Abstract
Congenital neck masses (CNMs) are developmental malformations that present with a wide spectrum of clinical symptoms and signs. They account for 21% to 45% of neck masses in children and 5% to 14% in adults. This study aimed to present the clinical manifestations and treatment of CNM from single-institution experiences. A retrospective analysis of patients surgically treated for CNM in a 12-year period was performed. Altogether, 117 patients (female/male ratio, 1:1.05) were diagnosed with CNM. The mean age at presentation was 26.91 years (range, 0.01-84 years). Within the study population, 120 CNMs were identified: 52 (43.33%) thyroglossal duct remnants, 48 (40.00%) branchial cleft anomalies, 7 (5.83%) epidermoid/dermoid cysts, 4 (3.33%) hemangiomas, 3 (2.50%) lymphangiomas, 1 (0.83%) hemangiolymphangioma, 1 (0.83%) hemangioendothelioma, 1 (0.83%) internal laryngocele, 1 (0.83%) external laryngocele, 1 (0.83%) ectopic thyroid gland, and 1 (0.83%) parathyroid cyst. The lateral neck region was the most frequently affected anatomical site, followed by the midline neck location and mediastinum (54%, 45%, and 1%, respectively). Surgical excision was performed in all cases. Recurrence was recorded in 5 (4.17%) patients. The results of this study provide comprehensive information regarding the clinical spectrum of CNM. Successful management of these lesions depends on a thorough understanding of neck embryology and anatomy. Misdiagnosis and improper treatment increase the morbidity and recurrence rate of CNM.
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10
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Vélez‐Cruz ME, Gómez‐Clavel JF, Licéaga‐Escalera CJ, Montoya Pérez LA, Trujillo Fandiño JJ, Trejo Iriarte CG, Ramírez‐Cano MF, García‐Muñoz A. Sublingual dermoid cyst in an infant: A case report and review of the literature. Clin Case Rep 2020; 8:1403-1408. [PMID: 32884763 PMCID: PMC7455432 DOI: 10.1002/ccr3.2823] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2019] [Revised: 03/05/2020] [Accepted: 03/12/2020] [Indexed: 11/09/2022] Open
Abstract
Dermoid cysts usually occur later in the second decade of life; we present the approach of an unusual case of an infant who presented a cyst within the oral cavity, which is important because it can be confused with other pathologies.
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Affiliation(s)
| | - José Francisco Gómez‐Clavel
- Laboratorio de Investigación en Educación y OdontologíaCarrera de Cirujano Dentista FES‐IztacalaUniversidad Nacional Autónoma de MéxicoEstado de MéxicoMéxico
| | | | | | | | - Cynthia Georgina Trejo Iriarte
- Carrera de Cirujano dentistaLaboratorio de Investigación en Odontología AlmarazFES‐IztacalaUniversidad Nacional Autónoma de MéxicoEstado de MéxicoMéxico
| | - Maria Fernanda Ramírez‐Cano
- Carrera de Cirujano dentistaLaboratorio de Investigación en Odontología AlmarazFES‐IztacalaUniversidad Nacional Autónoma de MéxicoEstado de MéxicoMéxico
| | - Alejandro García‐Muñoz
- Carrera de Cirujano dentistaLaboratorio de Investigación en Odontología AlmarazFES‐IztacalaUniversidad Nacional Autónoma de MéxicoEstado de MéxicoMéxico
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11
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Iwai T, Sugiyama S, Kitajima H, Hirota M, Mitsudo K. Endoscopically Assisted Intraoral Removal of Infrageniohyoid Dermoid Cyst. EAR, NOSE & THROAT JOURNAL 2020; 101:30-32. [PMID: 32659119 DOI: 10.1177/0145561320940060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Affiliation(s)
- Toshinori Iwai
- Department of Oral and Maxillofacial Surgery/Orthodontics, Yokohama City University Hospital, Kanazawa-ku, Yokohama, Kanagawa, Japan
| | - Satomi Sugiyama
- Department of Oral and Maxillofacial Surgery/Orthodontics, Yokohama City University Hospital, Kanazawa-ku, Yokohama, Kanagawa, Japan
| | - Hiroaki Kitajima
- Department of Oral and Maxillofacial Surgery/Orthodontics, Yokohama City University Hospital, Kanazawa-ku, Yokohama, Kanagawa, Japan
| | - Makoto Hirota
- Department of Oral and Maxillofacial Surgery/Orthodontics, Yokohama City University Medical Center, Minami-ku, Yokohama, Kanagawa, Japan
| | - Kenji Mitsudo
- Department of Oral and Maxillofacial Surgery/Orthodontics, Yokohama City University Hospital, Kanazawa-ku, Yokohama, Kanagawa, Japan
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Santos HB, Rolim LS, Barros CC, Cavalcante IL, Freitas RD, Souza LB. Dermoid and epidermoid cysts of the oral cavity: a 48-year retrospective study with focus on clinical and morphological features and review of main topics. Med Oral Patol Oral Cir Bucal 2020; 25:e364-e369. [PMID: 32134895 PMCID: PMC7211364 DOI: 10.4317/medoral.23388] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2019] [Accepted: 02/10/2020] [Indexed: 12/03/2022] Open
Abstract
Background Dermoid and epidermoid cysts are slow-growing, benign developmental cysts that arise from ectodermal tissue and can occur anywhere in the body. Less than 7% of these cysts involve the head and neck region, with only 1.6% of cases presenting in the oral cavity. To evaluate the clinical and histopathological features of dermoid (DCs) and epidermoid (ECs) cysts stored in the archives of a referred Oral Pathology Service over a 48-year-period, and to review current concepts about these cysts.
Material and Methods All DCs and ECs were reviewed, and clinical data were obtained from the patient records. Fourteen cases of DCs and thirteen cases of ECs were re-evaluated microscopically by 2 oral pathologists.
Results Among 15.387 cases, 14 (0.09%) had a histopathological diagnosis of DCs and 13 (0.08%) of ECs. For DCs, ten (71.4%) patients were women, with the mean age of 37.2 years. All DCs were lined by a stratified squamous epithelium (100%), with gut and respiratory epithelium observed in 1 (7.1%) and 2 (14.3%) cases, respectively. Chronic inflammatory cells, melanin, multinucleated giant cell reaction, and Pacini bodies were also observed. For ECs, eight (61.5%) cases were in women, and the mean age was 38.2 years. All ECs were lined by a stratified squamous epithelium (100%). Chronic inflammatory cells, melanin pigmentation, and adipose tissue were observed in the fibrous capsule.
Conclusions Our results suggest that stratified squamous epithelium is the predominant epithelial lining of these cystic lesions. Also, we may find some unusual findings in DCs, such as Pacini bodies. Key words:Non-odontogenic cysts, epidermoid cysts, dermoid cysts, diagnosis.
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Affiliation(s)
- H-B Santos
- Postgraduate Program in Dental Sciences Federal University of Rio Grande do Norte Av. Salgado Filho, 1787, Lagoa Nova - Natal / RN CEP: 59056-000. Brazil
| | | | - C-C Barros
- Postgraduate Program in Dental Sciences Department of Dentistry, Federal University of Rio Grande do Norte Av. Salgado Filho, 1787, Lagoa Nova CEP: 59056-000. Natal-RN, Brazil
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13
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Lee KC, Mandel L. Persistent midcheek nodule. J Am Dent Assoc 2018; 149:990-994. [DOI: 10.1016/j.adaj.2018.05.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2018] [Revised: 05/08/2018] [Accepted: 05/13/2018] [Indexed: 10/14/2022]
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Visser EMS, Caliskan N, Veraa S, Hermans H. A retrobulbar dermoid cyst with involvement of the sinus in an 18-year old pony. EQUINE VET EDUC 2018. [DOI: 10.1111/eve.12994] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Affiliation(s)
- E. M. S. Visser
- Department of Equine Sciences; Faculty of Veterinary Medicine; Utrecht University; Utrecht The Netherlands
| | - N. Caliskan
- Department of Pathobiology; Faculty of Veterinary Medicine; Utrecht University; Utrecht The Netherlands
| | - S. Veraa
- Division of Diagnostic Imaging; Faculty of Veterinary Medicine; Utrecht University; Utrecht The Netherlands
| | - H. Hermans
- Department of Equine Sciences; Faculty of Veterinary Medicine; Utrecht University; Utrecht The Netherlands
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Masses of developmental and genetic origin affecting the paediatric craniofacial skeleton. Insights Imaging 2018; 9:571-589. [PMID: 29766474 PMCID: PMC6108962 DOI: 10.1007/s13244-018-0623-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2017] [Revised: 02/26/2018] [Accepted: 03/19/2018] [Indexed: 01/05/2023] Open
Abstract
Although rare, masses and mass-like lesions of developmental and genetic origin may affect the paediatric craniofacial skeleton. They represent a major challenge in clinical practice because they can lead to functional impairment, facial deformation and disfigurement. The most common lesions include fibrous dysplasia, dermoid cysts, vascular malformations and plexiform neurofibromas. Less common lesions include torus mandibularis and torus palatinus, cherubism, nevoid basal cell carcinoma syndrome, meningoencephalocele and nasal sinus tract. This article provides a comprehensive approach for the evaluation of children with masses or mass-like lesions of developmental and genetic origin affecting the craniofacial skeleton. Typical findings are illustrated and the respective roles of computed tomography (CT), cone beam CT (CBCT), magnetic resonance imaging (MRI) with diffusion-weighted imaging (DWI) sequences and ultrasonography (US) are discussed for the pre-therapeutic assessment, complex treatment planning and post-treatment surveillance. Key imaging findings and characteristic clinical manifestations are reviewed. Pitfalls of image interpretation are addressed and how to avoid them. TEACHING POINTS: • Masses of developmental and genetic origin may severely impair the craniofacial skeleton. • Although rare, these lesions have characteristic imaging features. • CT, MRI and ultrasonography play a key role in their work-up. • Recognition of pivotal imaging pearls and diagnostic pitfalls avoids interpretation errors.
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16
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Brunet-Garcia A, Lucena-Rivero ED, Brunet-Garcia L, Faubel-Serra M. Cystic mass of the floor of the mouth. J Clin Exp Dent 2018; 10:e287-e290. [PMID: 29721231 PMCID: PMC5923888 DOI: 10.4317/jced.54604] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2017] [Accepted: 01/12/2018] [Indexed: 11/10/2022] Open
Abstract
Background Epidermoid and dermoid cysts in the oral cavity are relatively uncommon lesions of developmental origin. They often remain asymptomatic for years until they grow enough to interfere with speech, deglutition and less often with breathing which can pose a critical risk to the airway and require immediate surgery. Case description A case of an epidermoid cyst of the floor of the mouth affecting a 37-year-old man is presented; this lesion was surgically enucleated with an intraoral approach. Patient did well postoperatively and there was no evidence of recurrence up to 2 years of follow up. Clinical implications Floor of the mouth is a challenging site for the diagnosis of a broad variety of lesions which the surgeon should be aware. Depending on the anatomical relation to the muscles of the floor of the mouth dermoid cysts are classified as supramylohyoid or inframylohyoid, and they will both have different clinical and radiological features. This article also includes literature review about the etiopathological, clinical, radiological and histological features, the differential diagnosis and its treatment. Key words:Epidermoid cyst, dermoid cyst, floor of mouth.
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Affiliation(s)
- Aina Brunet-Garcia
- MD, Department of Otorhinolaryngology, Hospital General Universitari de Castelló. Castelló de la Plana, Universitay of València, València, Spain
| | | | - Laia Brunet-Garcia
- MD, Department of Paediatric Cardiology, Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain
| | - Marta Faubel-Serra
- MD, PhD. Head of Otorhinolaryngology department, Hospital General Universitari de Castelló. Castelló de la Plana, Spain
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