A solitary, asymptomatic cystic lesion in the submandibular region

Author(s):  
T. Iwai ◽  
S. Minamiyama ◽  
K. Mitsudo
2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Rahul A. Gandhi ◽  
Rahul Bhowate ◽  
Shirish Degweker ◽  
Arvind Bhake

Thyroglossal duct cyst presents most frequently in the midline of the neck, either at or just below the level of the hyoid bone. They generally manifest as painless neck swelling, and they move on protrusion of tongue and during swallowing. A case of thyroglossal cyst was reported in the left submandibular region in a 14-year-old girl, above the level of hyoid bone; ultrasound examination favored a cystic lesion which moved in a vertical fashion on swallowing whereas fine needle aspiration cytology report was suggestive of simple cystic lesion of thyroglossal cyst. No lymphoid or malignant cells were present. The cyst was excised completely by surgical procedure under general anesthesia. Histopathological analysis revealed thyroglossal cyst showing columnar and flattened epithelium of cyst with focal aggregate of chronic inflammatory cells supported by fibrocollagenous cyst wall. The clinical, ultrasound, and histopathological findings suggested that the lesion was an infected thyroglossal cyst. There was no evidence of recurrence 6 months after surgery.


2015 ◽  
Vol 9 (2) ◽  
pp. 96-98
Author(s):  
PD Kumar ◽  
S Devadiga ◽  
R Agrawal ◽  
CH Mahabaleshwar

ABSTRACT The odontogenic keratocyst (OKC) is a cystic lesion of odontogenic origin that demonstrates the behavioral characteristics of a benign neoplasm and has a propensity to recur after surgical treatment. This is a case report a 45-year-old male presented with a solitary swelling in the submandibular region, which was clinically diagnosed as dentigerous cyst. The microscopic examination revealed the presence of odontogenic keratocyst.


2021 ◽  
Vol 14 (4) ◽  
pp. e242445
Author(s):  
Pedro Oliveira Santos ◽  
Rafael Cabrera ◽  
Miguel Vilares ◽  
Alexandra Borges

We report the case of a 25-year-old man with a maxillary ghost cell odontogenic carcinoma (GCOC). The patient presented to the maxillofacial and head and neck surgery clinic with a growing lump in the left maxilla. Initial workup with CT revealed a cystic lesion in the left upper jaw with associated bone erosion and an enhancing soft-tissue component. Enucleation showed a GCOC associated with a calcifying odontogenic cyst. After the diagnosis was obtained, the patient underwent widening of the first surgical resection. GCOCs are rare odontogenic neoplasms with unspecific clinical and imaging presentation, whose definitive characterisation is based on pathology. Current treatment approaches mainly involve surgical excision, but the prognosis is highly unpredictable due to intertumoral heterogeneity. As tumour recurrences occur in 73% of cases, radical surgery with negative margins is highly recommended. Therefore, it is essential to recognise this entity to offer patients adequate management.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Cheng-Zhi Zhao ◽  
Bin Wang ◽  
Chun-yan Zhong ◽  
Shen-tao Lu ◽  
Li Lei

Abstract Background Endometriosis of the uterine body can be manifested as diffuse solid lesions or cystic lesions. The former is common, while the latter is rare, especially for cystic adenomyosis larger than 5 cm. Case presentation A 30-year-old woman was admitted for severe and worsening dysmenorrhea. Ultrasound examination revealed a rare well-circumscribed cystic lesion about 5.5 × 4 × 5.0 cm. CA-125 level was slightly elevated. She accepted laparoscopic surgery and the adenomyotic tissues were excised. The histopathology of the specimen demonstrated the endometrial glands in the walls of cysts and an area of extensive hemorrhage can be seen in the inner wall of cyst. The patient made a good recovery after surgery and her symptoms complete resoluted. Conclusions This is a rare case of a cystic adenomyotic lesion that was treated by laparoscopic surgery.


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