scholarly journals Epidermoid Cyst in the Floor of the Mouth of a 3-Year-Old

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Rossana Pascual Dabán ◽  
Eloy García Díez ◽  
Beatriz González Navarro ◽  
José López-López

Epidermoid cysts are a rare entity in the oral cavity and are even less frequent in the floor of the mouth, representing less than 0.01% of all the cases. We present the case of a 3-year-old girl with a growth in the floor of the mouth with 2 months of evolution and without changes since it was discovered by her parents. The lesion was asymptomatic; it did not cause dysphagia, dyspnea, or any other alteration. A CT scan with contrast was done which revealed the location and exact size of the lesion, allowing an intraoral approach for its excision. The histological examination confirmed the clinical speculation of an epidermoid cyst.

2020 ◽  
Vol 47 (4) ◽  
pp. 463-468
Author(s):  
Jihye Lee ◽  
Namki Choi ◽  
Seonmi Kim

Epidermoid cysts are rare benign lesions in the oral cavity that may be either congenital or acquired. The cysts are usually slow-growing and asymptomatic until becoming secondarily infected or large enough to interfere with mastication and speech. Consequently, diagnosis is often delayed. The condition is also uncommon in newborns and infants. Most of the lesions occur in the floor of the mouth and rarely in the upper lip. This report describes the case of a 29-month-old girl with a palpable mass in the inner mucosa of the upper lip. The lesion was surgically enucleated using an intraoral approach and histopathologically diagnosed as epidermoid cyst.


2017 ◽  
Vol 44 (2) ◽  
pp. 49-51
Author(s):  
St. Valkanov ◽  
P. Valkanov ◽  
K. Trifonova ◽  
K. Slaveykov

Abstract Dermoid and epidermoid cysts are among the most common orbital tumors, comprising 3% to 9% of all orbital masses. We report a rare case of upper medial orbital epidermoid cyst of a 2-year-old patient. The patient was complaining of pain in the right eye and infrequent vomiting. The neurological and radiographic examinations showed no pathological findings, only after CT scan was performed a tumor formation was found. After the extirpation a histological examination was performed proving the diagnosis.


2018 ◽  
pp. 1-4
Author(s):  
Elshad Sadigov ◽  
Yunus Afendiyev ◽  
Chingiz Rahimov ◽  
Mahammad Davudov ◽  
Jamal Musayev

The incidence ranging of the dermoid and epidermoid cysts on the head and neck, from 1.6 to 7.0%, and they represent less than 0.01% of all oral cavity cysts. Histologically, they can be further classified as epidermoid, dermoid or teratoid. We analyzed two rare cases of large epidermoid cysts of the floor of the mouth, with sublingual as well as submental component resembling plunging ranula. Two female patients (age 15 and 16 y. o.), who’s had sublingual and submental swellings of oral floor with breathing and swallowing difficulties. The suspected clinical diagnosis of the sublingual dermoid or epidermoid cysts were supported by the radiological finding after performing ultrasonography (USG), computed tomography (CT) and magnetic resonance imaging (MRI). On the radiological investigation the differentiation between epidermoid cysts, ranulas, cystic tumours, mucous extravasation phenomena and hygromas sometimes indistinguishable, leading in the determination of internal component differentiation and has pathognomonic signs to differentiate. The lesions were surgically excised using an intraoral approach. Microscopic examinations revealed a dermoid cyst of the epidermoid type. Keywords: Sublingual Epidermoid Cyst, Plunging Ranula, Ultrasonography, Computed Tomography, Magnetic Resonance Imaging


2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Jawad M. Qureshi ◽  
Brian Pagano ◽  
Jeffrey Mueller ◽  
Lana Schumacher ◽  
Claudia Velosa ◽  
...  

Thymic epidermoid cysts are an extremely rare entity. These arise from epidermal cells that migrate to the thymus. The radiologic diagnosis of this rare lesion is challenging. We describe a case of an otherwise healthy 35-year-old woman who presented with an acute onset of chest pain and shortness of breath. She was found to have an anterior mediastinal mass. The imaging findings were, however, not characteristic for any single diagnostic entity. Since the imaging was inconclusive, surgical resection was performed for definitive diagnosis. The mass was found to be a thymic epidermoid cyst. This case underlines the significance for radiologists to be aware that epidermoid cysts can occur in the thymus and should be considered in the differential diagnosis for a heterogeneous anterior mediastinal mass.


2021 ◽  
Vol 10 (2) ◽  
pp. e56810212905
Author(s):  
Andre Luis Costa Cantanhede ◽  
Carolinne da Gloria Araújo ◽  
Priscila Mayara Silva de Almeida ◽  
Hassan Lavalier de Oliveira Lima

Neurofibromas are uncommon benign tumors in the oral cavity, which are composed of Schwann cells, perineural-like cells, and fibroblasts. The diagnosis can be confirmed by histological examination and immunopositivity for the S-100 protein indicating its neural origin. Surgical excision is the treatment of choice, and the intraoral approach is the best route for a medium-sized lesion and the prognosis is excellent. This paper aims at to present a unusual case of large neurofibroma located at the cheek mucosa of a young man and review important aspects of this tumor in the oral cavity.


2021 ◽  
pp. 014556132110534
Author(s):  
Min-Sik Kim ◽  
Minhyung Lee ◽  
Jin-Choon Lee ◽  
Eui-Suk Sung

Epidermoid cysts are generally benign lesions surrounded by squamous epithelium with cystic contents. The lining of the cysts produce keratin, which resemble a cheese-like material. They typically occur in the skin and mucous membranes and are congenital in origin; iatrogenic epidermoid cysts are rare. Epidermoid cysts are usually painless and asymptomatic, and their diagnosis is based on histological examination. This paper aims to present the case report of a 23-year-old patient with an iatrogenic epidermoid cyst that occurred following tracheostomy. The importance of preoperative radiological imaging in the diagnosis of epidermoid cysts is also highlighted.


2021 ◽  
Vol 13 (1) ◽  
pp. 1-3
Author(s):  
Hugo Marcos ◽  
Tiago Soares Santos ◽  
Paulo Gonçalves ◽  
Débora Gonçalves ◽  
Guilherme Carvalho ◽  
...  

Dermoid and epidermoid cysts are rare in the head and neck, specially in the oral cavity, accounting for 1.6 %. It represents an even smaller percentage of all the oral cysts, less than 0.01%. Usually asymptomatic, however, occasionally, obstructive symptoms like dysphagia or speech difficulties are found. We present a case of a 32 years old female patient with a sublingual epidermoid cyst. The patient was referred to our ENT department with complaints of an oral mass, speech difficulties and solid food dysphagia for 1 month. Physical examination revealed a well circumscribed symmetrical mass on the floor of the mouth with no inflammatory signs, tender and fluctuant on palpation. Computed tomography (CT) was requested. CT scan showed a sublingual cystic mass inferiorly limited by the mylohyoid muscle. Aspiration was performed to improve symptoms until surgery. The liquid that resulted from aspiration showed a granulated white cheesy material. Enucleation of the cyst was performed intraorally in the operating room. Histopathologic investigation confirmed the diagnosis of epidermoid cyst. The patient fully recovered and there was no recurrence. Although rare, cases like this exist. There are several differential diagnoses and a high level of suspicion is necessary for a correct workup, diagnosis and follow-up. Surgical excision is usually necessary and curative.


1986 ◽  
Vol 26 (9) ◽  
pp. 706-711 ◽  
Author(s):  
Takamichi KUBOKURA ◽  
Toshihiko NISHIMURA ◽  
Kyouji TSUBONE
Keyword(s):  
Ct Scan ◽  

2015 ◽  
Vol 11 (4) ◽  
pp. 305-309 ◽  
Author(s):  
M Pokharel ◽  
S Karki ◽  
I Shrestha ◽  
BL Shrestha ◽  
K Khanal ◽  
...  

Background Eagle’s syndrome (Elongated styloid process) is often misdiagnosed due to its vague symptomatology. The diagnosis relies on detail history taking, palpation of styloid process in tonsillar fossa and imaging modalities.Objective To assess the length and medial angulation of elongated styloid process with the help of three dimensional computed tomography (3D CT) scan and to describe our clinical and surgical experience with patients suffering from Eagle’s syndrome.Method Prospective, analytical study conducted from August 2011 to August 2012 among 39 patients with Eagle’s syndrome. Detailed history taking, clinical examination and 3D CT scan was performed. Length and medial angulation was calculated. Patients with styloid process length longer than 2.50 cm underwent surgical excision via intraoral approach. Medial angulation of styloid process on both sides was correlated with each other using rank correlation coefficient. Wilcoxon Signed Rank test was applied to test significant difference between pre-operative and post-operative symptoms scores.Result Significant positive correlation was found between the medial angulation of styloid process on right side and left side (? =0.81, p<0.001). Significant difference was also observed between pre and post-operative symptoms scores (z=-5.16, p<0.001) .Conclusion Possibility of Eagle’s syndrome should always be considered while examining patients with vague neck pain. 3D CT reconstruction is a gold standard investigation which helps in studying the relation of styloid process with surrounding structures along with accurate measurement of its length and medial angulation.Kathmandu Univ Med J 2013; 11(4): 305-309


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