Extraoral Sublingual Epidermoid Cyst: A Case Report


Affiliations

  • Government Dental College and Hospital, Asarwa, Department of Oral Medicine and Radiology, Ahmedabad, Gujarat, 380016, India
  • R.H and C.H.C, Gadat, Department of Dentistry, Tapi, Vyara, Gujarat, India

Abstract

Epidermoid Cysts (EC) are rare cysts of the head and neck region, which may confuse with many soft tissue sublingual mass pathologies. A presentation of such cyst is important to decide the surgical approach. The aim of this paper was to present the role of USG and MRI for determine the surgical approach. A female patient presented with chronic asymptomatic swelling over left submandibular neck which was single diffuse, non-tender, soft, compressible, fluctuant with normal overlying skin. Swelling was not movable with deglutination and protrusion of tongue. MRI and USG guided FNAC was conclusive to diagnose the lesion. Histological examination confirmed the diagnosis. Lateral neck swelling should be considered as EC for differential diagnosis. A careful physical examination and fine needle aspiration and diagnostic imaging should be performed which clarifies the surgical approach.


Keywords

Epidermoid Cyst, Lateral Neck Swelling, Ultrasound, FNAC, MRI

Subject Discipline

Dentistry

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References

Elias LSA, Alves LSAE, Leite AFO, Silva CM, RibeiroRotta RF, Batista AC, et al. Epidermoid cyst: Highlights on diagnosis and magnetic resonance imaging features. Revodontociênc. 2010; 25(2):204-07. https://doi.org/10.1590/S1980-65232010000200019.

Şimşek-Kaya G, HÖzbudak İH, Kader D. Coexisting sublingual dermoid cyst and heterotopic gastrointestinal cyst: Case report. J. Clin. Exp. Dent. 2018; 10(2):e196-99.

Kandogan T, Koç M, Vardar E, Selek E, Sezgin O. Sublingual epidermoid cyst: A case report. J. Med. Case Reports. 2007; 1:87. https://doi.org/10.1186/1752-1947-1-87. PMid: 17875211, PMCid: PMC2020471.

Hiremath R, Chandrashekarayya SH, Pol M, Anegundi TJ, Rudrappa K. A rare case of submental epidermoid cyst: A case report. J. of Clin. Diag. Res. 2011 November (Suppl-2); 5(7):1452-53.

Gulati U, Mohanty S, Augustine J, Gupta SR. Potentially Fatal Supramylohyoid Sublingual Epidermoid Cyst. J. Maxillofac Oral Surg. 2015; 14(Suppl-1):S355-59. https:// doi.org/10.1007/s12663-013-0594-4. PMid: 25848141, PMCid: PMC4379300.

Teszler CB, El-Naaj IA, Emodi O, Luntz M, Peled M. Dermid cysts of the lateral floor of mouth: A comprehensive anatomo-surgical classification of cysts of the oral floor. J. Oral Maxillofac Surg. 2007; 65:327-32. https://doi.org/10.1016/j.joms.2005.06.022. PMid: 17236944.

Aydın S, Demir MG, Demir N, Şahin Sand Kayıpmaz SS. A giant plunging sublingual dermoid cyst excised by intraoral approach. J. Maxillofac Oral Surg. 2016; 15(2):277-80. https://doi.org/10.1007/s12663-015-0829-7. PMid: 27298554, PMCid: PMC4871834.

Nishar CC, Ambulgekar VK, Gujrathi AB, Chavan PT. Unusually giant sublingual epidermoid cyst: A case report. Iran J. Otorhinolaryngol. 2016; 28(87):291-96.


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