OBJECTIVE:To demonstrate the variable presentations of dermoid cysts, discuss the surgical treatment options, and review the pathologic features of these lesions.
STUDY DESIGN AND METHODS:This clinical case report is based on review of medical records, imaging, and pathology. In addition, a comprehensive review of the literature was also performed.
RESULTS:The patient is a 48 year old man with a twenty year history of recurrent tongue and floor of mouth abscesses, requiring a tracheotomy and multiple hospitalizations for drainage. An MRI following his most recent infection revealed a 1.8 cm lesion within the tongue musculature. He underwent surgical resection of this lesion. Pathology showed a cyst lined by benign squamous mucosa with adjacent sebaceous glands, consistent with a dermoid cyst. The patient has had no recurrent abscesses two years after surgical excision of the cyst.
CONCLUSIONS:Dermoid cysts are rare lesions of the head and neck that usually present in children as asymptomatic, slowgrowing masses. This case demonstrates that dermoid cysts may present later in life with recurrent acute infections.