Limits...
Giant sublingual epidermoid cyst resembling plunging ranula.

Verma S, Kushwaha JK, Sonkar AA, Kumar R, Gupta R - Natl J Maxillofac Surg (2012)

Bottom Line: We present a case of a 16-year-old girl with complaints of a mass in sublingual region, difficulty chewing, and dysphagia for about 5 months.Fine-needle aspiration cytology showed keratin flakes and proteinaceous material.On examination, a firm swelling was noticed in the submental area, extending down to the thyroid notch.

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery, C.S.M. Medical University, Lucknow, Uttar Pradesh, India.

ABSTRACT
Epidermoid and dermoid cysts represent less than 0.01% of all oral cavity cysts. We describe a rare case of large epidermoid cyst in floor of mouth, with an oral as well as submental component resembling plunging ranula reported in the literature from India. We present a case of a 16-year-old girl with complaints of a mass in sublingual region, difficulty chewing, and dysphagia for about 5 months. Fine-needle aspiration cytology showed keratin flakes and proteinaceous material. Contrast-enhanced CT oral cavity was done and showed 7.0 × 5 × 4.5 cm well-circumscribed non-enhancing cystic mass extending into the floor of the mouth. On examination, a firm swelling was noticed in the submental area, extending down to the thyroid notch. The patient underwent surgical removal of the mass. On histopathology, acidophilic stratum corneum and basophilic dot like staining of stratum granulosum, which is the hallmark of an epidermoid cyst, were seen.

No MeSH data available.


Related in: MedlinePlus

Excised specimen of sublingual epidermoid cyst measuring approx. 7 cm × 5 cm
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3700160&req=5

Figure 4: Excised specimen of sublingual epidermoid cyst measuring approx. 7 cm × 5 cm

Mentions: Under general anesthesia, intraoral incision was given in the floor of the mouth from base of tongue to mandible. Sharp and blunt dissection was done to free the cyst from fibers of mylohyoid muscle. Cyst was removed per oral in toto [Figure 4]. The resultant defect was closed in layers after ensuring hemostasis.


Giant sublingual epidermoid cyst resembling plunging ranula.

Verma S, Kushwaha JK, Sonkar AA, Kumar R, Gupta R - Natl J Maxillofac Surg (2012)

Excised specimen of sublingual epidermoid cyst measuring approx. 7 cm × 5 cm
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3700160&req=5

Figure 4: Excised specimen of sublingual epidermoid cyst measuring approx. 7 cm × 5 cm
Mentions: Under general anesthesia, intraoral incision was given in the floor of the mouth from base of tongue to mandible. Sharp and blunt dissection was done to free the cyst from fibers of mylohyoid muscle. Cyst was removed per oral in toto [Figure 4]. The resultant defect was closed in layers after ensuring hemostasis.

Bottom Line: We present a case of a 16-year-old girl with complaints of a mass in sublingual region, difficulty chewing, and dysphagia for about 5 months.Fine-needle aspiration cytology showed keratin flakes and proteinaceous material.On examination, a firm swelling was noticed in the submental area, extending down to the thyroid notch.

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery, C.S.M. Medical University, Lucknow, Uttar Pradesh, India.

ABSTRACT
Epidermoid and dermoid cysts represent less than 0.01% of all oral cavity cysts. We describe a rare case of large epidermoid cyst in floor of mouth, with an oral as well as submental component resembling plunging ranula reported in the literature from India. We present a case of a 16-year-old girl with complaints of a mass in sublingual region, difficulty chewing, and dysphagia for about 5 months. Fine-needle aspiration cytology showed keratin flakes and proteinaceous material. Contrast-enhanced CT oral cavity was done and showed 7.0 × 5 × 4.5 cm well-circumscribed non-enhancing cystic mass extending into the floor of the mouth. On examination, a firm swelling was noticed in the submental area, extending down to the thyroid notch. The patient underwent surgical removal of the mass. On histopathology, acidophilic stratum corneum and basophilic dot like staining of stratum granulosum, which is the hallmark of an epidermoid cyst, were seen.

No MeSH data available.


Related in: MedlinePlus