An Epidermal Cyst in the Floor of the Mouth: A Rare Presentation

Mammen, Suraj; Korulla, Anu; Paul, Mark

doi:10.7860/jcdr/2013/4165.2776

Cited by 11 publications

(15 citation statements)

References 5 publications

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“…Histologically, epidermoid cysts are lined by a thin squamous epithelium which is rarely calcified. The cysts contain debris from desquamating lining of the epithelium, keratin and cholesterol (9).…”

Section: Discussionmentioning

confidence: 99%

Different Radiologic Appearances of Giant Epidermoid Cysts at the Floor of the Mouth: Three Case Reports

Sakat¹,

Altaş²,

Kilic³

et al. 2016

West Indian Med J

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Epidermoid and dermoid cysts are benign lesions which may occur anywhere on the body.Seven per cent of these lesions occur in the head and neck region and 1.6% in the oral cavity.We presented three cases of giant epidermoid cysts located on the floor of the mouth. Case one was a 22-year-old man referred to our clinic with a 10-year history of a submental mass which began growing and causing pain in the throat. Physical examination revealed masses in both the submental and sublingual regions. Magnetic resonance imaging (MRI) with contrast revealed a well-circumscribed iso-hypointense cystic mass with a 'sack-of-marbles' appearance. Case 2 involved a 23-year-old female referred to our clinic with difficulty in chewing and swallowing solid food for one week previously. Physical examination revealed a sublingual mass displacing the tongue upward. Magnetic resonance imaging revealed a heterogeneous hyperintense cystic mass in the sublingual region. Case 3 was a 28-year-old man referred to our clinic with submental swelling, difficulty in breathing and swallowing, decreased tongue movements and snoring. Computerized tomography (CT) indicated a homogenous cystic mass in the submental region. Excision of the masses with an extraoral approach was performed in all three cases. Histopathological examination revealed epidermoid cyst. In summary, epidermoid cysts may assume various appearances at radiological imaging.

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Section: Discussionmentioning

confidence: 99%

Different Radiologic Appearances of Giant Epidermoid Cysts at the Floor of the Mouth: Three Case Reports

Sakat¹,

Altaş²,

Kilic³

et al. 2016

West Indian Med J

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“…(5) CT scan shows a unilocular cyst with homogenous, hypo-attenuating (0–18 HU) fluid material that contains multiple hypo-attenuating fat density nodules giving a “sack of marbles” appearance; a feature virtually pathognomonic for a dermoid cyst in this location. (1,8) On MRI, it shows fluid signal character in the form of high signal in tbl2WI and low signal in tbl1WI however, diffuse high tbl1 signal can be due to high protein content, and the areas of fat component will show low signal on fat suppressed images. MR imaging facilitates exact visualization of the location and extent of cystic lesions in the floor of the mouth and is useful for determining their relationship to the surrounding muscles ( Figure 5 ).…”

Section: Discussionmentioning

confidence: 99%

“…The expected treatment includes complete surgical enucleation (3–6,8) without rupturing the cyst as the intraluminal contents may act as irritants to fibrovascular tissues, producing postoperative inflammation. (1,5,8) However, marsupialization is another alternative for management of large cysts. (11)…”

Section: Discussionmentioning

confidence: 99%

“…Epidermoid cysts are classified as one type of the spectrum of cystic teratomas, (1) this spectrum describes three closely related histologic cysts including dermoid cysts, epidermoid cysts, and teratoid cysts. (1) These cysts are very rare and represent 0.01% of all oral cavity cysts. (2–4) They constitute 1.6–6.9% of all cysts in the head and neck region.…”

Section: Introductionmentioning

confidence: 99%

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Case report of complicated epidermoid cyst of the floor of the mouth: Radiology-histopathology correlation

Mirza

Fadl

Napaki

et al. 2014

Qatar Medical Journal

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Epidermoid cysts, true dermoid cysts and teratoid cysts compose the spectrum of cystic teratomas, which are defined as neoplasms whose tissue are derivatives of more than one germ layer, foreign to that part of the body from which the tumor arises. Epidermoid cysts of the floor of the mouth are rare lesions and are much less common than dermoid cysts in the head and neck. This case reports a 43-year-old male patient who presented with a longstanding midline swelling in the submental region. Initial imaging was done using ultrasound followed by computed tomography (CT) scan. Biopsy was taken and revealed a cyst wall lined with epidermal squamous epithelium along with areas of focal ulceration suggesting chronic inflammatory changes of the wall of the epidermoid cyst.There are characteristic and even pathognomonic imaging features of epidermoid cysts at the floor of the mouth in ultrasound and CT scan. Imaging has an important role in the surgical management plan according to the size and location of the cyst in relation to geniohyoid and mylohyoid muscles.

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“…[4] Epidermoid kistler, dermoid kistlerden çok daha az sıklıkta görülür ve en çok submental bölgede yerleşirler. [5] En sık şikayet boyunda yavaş büyüyen, ağrısız şişliktir. Orta hat yerleşimli olanlar tiroglossal duktus kisti ile karıştırılabilir, ayrıcı tanıda dilin dışarı çıkarılması ile hareketli olup olmaması önemli bir ipucudur.…”

Section: Introductionunclassified

Giant epidermoid cyst in the submandibular region: Case report

Çevik¹

2020

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An Epidermal Cyst in the Floor of the Mouth: A Rare Presentation

Abstract: Epidermal cysts rarely occur in the head and neck region as compared to the dermoid cysts and when they do occur in this region, they present in the floor of the mouth. We are reporting a rare case of an epidermal cyst in the floor of the mouth, with a brief review of the literature.

Cited by 11 publications

References 5 publications

Different Radiologic Appearances of Giant Epidermoid Cysts at the Floor of the Mouth: Three Case Reports

Different Radiologic Appearances of Giant Epidermoid Cysts at the Floor of the Mouth: Three Case Reports

Case report of complicated epidermoid cyst of the floor of the mouth: Radiology-histopathology correlation

Giant epidermoid cyst in the submandibular region: Case report

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