Diagnosis, management, and follow-up of extensive dermoid cyst of the submental region

Regis, Débora Menezes; Cunha, John Lennon Silva; Sánchez‐Romero, Celeste; Ramos, Maria Alice Carvalho da Cruz; Albuquerque, Ricardo Luiz Cavalcanti de; Bezerra, Bruno Torres

doi:10.4322/acr.2019.095

Cited by 6 publications

(20 citation statements)

References 10 publications

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“…DCs above the geniohyoid muscle often present as a swelling in the sublingual region. 3,7 On the other hand, swelling in the submental or submandibular region is often seen when the cyst is located between or below the geniohyoid and mylohyoid muscles. 3,7,12 Other complaints include altered speech, problems with swallowing, phonation, breathing, and double-chin development, especially in large lesions.…”

Section: A B C D E F G Hmentioning

confidence: 99%

“…3,7 On the other hand, swelling in the submental or submandibular region is often seen when the cyst is located between or below the geniohyoid and mylohyoid muscles. 3,7,12 Other complaints include altered speech, problems with swallowing, phonation, breathing, and double-chin development, especially in large lesions. 3,12 Although most DCs are asymptomatic, pain is expected if there is a secondary infection.…”

Section: A B C D E F G Hmentioning

confidence: 99%

“…3,7,12 Other complaints include altered speech, problems with swallowing, phonation, breathing, and double-chin development, especially in large lesions. 3,12 Although most DCs are asymptomatic, pain is expected if there is a secondary infection. 3 In the current series, four patients with DCs on the floor of the mouth reported difficulty swallowing and breathing, probably due to the posterior expansion of the lesion in the submandibular space.…”

Section: A B C D E F G Hmentioning

confidence: 99%

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Clinicopathologic analysis of oral dermoid and epidermoid cysts: a Brazilian multicenter study

CUNHA,

ANDRADE,

CAVALCANTE

et al. 2023

Braz. oral res.

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Dermoid cysts (DCs) and epidermoid cysts (ECs) are uncommon developmental cysts affecting the oral cavity. This study aims to evaluate patients with oral DCs and ECs and their demographic and clinicopathologic features. A retrospective descriptive crosssectional study was performed. A total of 105,077 biopsy records of oral and maxillofacial lesions from seven Brazilian oral pathology centers were analyzed. All cases diagnosed as oral DCs and ECs were reviewed, and clinical, demographic, and histopathological data were collected. The series comprised 32 DCs (31.4%) and 70 ECs (68.6%). Most of the DCs occurred on the floor of the mouth (n = 14; 45.2%) of women (n = 17; 53.1%) with a mean age of 34.6 ± 21.6 years. All DCs were lined partially or entirely by stratified squamous epithelium (100%). Chronic inflammatory cells, melanin pigmentation, multinucleated giant cell reaction, and cholesterol clefts were observed in the fibrous capsule . Most of the ECs affected the labial mucosa (n = 20; 31.7%) of men (n = 39; 56.5%) with a mean age of 48.0±19.8 years. Microscopically, most ECs (n = 68; 97.1%) were lined entirely by stratified squamous epithelium. Two cysts (2.9%) showed areas of respiratory metaplasia. Chronic inflammatory cells, melanin pigmentation, multinucleated giant cell reaction, and cholesterol clefts were also observed in the fibrous capsule. Conservative surgical excision was the treatment of choice in all cases. Oral DCs and ECs are uncommon and often clinically misdiagnosed lesions. Clinicians should consider DCs and ECs in the differential diagnosis of soft tissue lesions in the oral cavity, mainly located on the floor of the mouth and labial mucosa.

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Section: A B C D E F G Hmentioning

confidence: 99%

Section: A B C D E F G Hmentioning

confidence: 99%

Section: A B C D E F G Hmentioning

confidence: 99%

See 1 more Smart Citation

Clinicopathologic analysis of oral dermoid and epidermoid cysts: a Brazilian multicenter study

CUNHA,

ANDRADE,

CAVALCANTE

et al. 2023

Braz. oral res.

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“…Cystic lingual and floor-of-mouth masses in children often present a diagnostic dilemma due to the wide array of potential etiologies, including inflammatory pseudocyst (ranula), infection, lymphatic or vascular malformation, branchial cleft remnant, thyroglossal duct cyst, and dermoid/epidermoid cyst. Although separated from the floor of the mouth by the mylohyoid muscle, many authors include the submental space in discussions of the floor of the mouth due to its shared embryology [ 1 ]. Masses involving this region most commonly occupy three anatomic spaces: the submental, sublingual, and midline lingual septum.…”

Section: Introductionmentioning

confidence: 99%

Concurrent Pediatric Lingual and Submental Dermoid Cysts: Case Report and Literature Review

Gleichmann,

Creighton,

Zhu

et al. 2023

Cureus

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This pediatric case report describes the novel finding of concurrent submental and lingual dermoid cysts, which to our knowledge, has not been previously reported in the literature. The etiology of cysts involving the tongue, floor of the mouth, and submental neck is varied, representing congenital, inflammatory, and neoplastic sources. Dermoid cysts involving these regions are uncommon and are most frequently reported in the submental, sublingual, and lingual spaces. Presenting symptoms vary with cyst size and position relative to the mylohyoid muscle. MRI is the preferred modality to differentiate dermoid cysts from other etiologies. While interventional techniques have been utilized to treat dermoid cysts in other head and neck locations, surgical excision remains the preferred treatment for those involving oral and floor-of-mouth structures.

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“…It is a benign skin lesion originating from the outer hair root sheath, with low incidence and few reports. [ 1 , 2 ] A case of TC was diagnosed and treated in our department, and the report is as follows.…”

Section: Introductionmentioning

confidence: 99%

Scalp trichilemmal cyst: A case report

Zhu

Yang

et al. 2023

Medicine

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Rationale: Trichilemmal cyst (TC), also known as trichodermal cyst, trichodermal isthmus-degenerative cyst. It is a benign skin lesion originating from the outer hair root sheath, with low incidence and few reports. Patient concerns: A 41-year-old patient had found a scalp lump for more than 10 years. A 2.0 cm × 1.0 cm × 1.0 cm lump on the right occipital region was touched more than 10 years ago without special treatment. In the past 2 years, the lump has gradually increased. Physical examination: 4 protruding lumps can be reached in the scalp. One lump in the right occipital region is about 3.0 cm × 2.0 cm × 2.0 cm, with 1 lump immediately below and 2 lumps in the left temporal region. All lumps can be pushed. Diagnoses: The lesion is located in dermis, The lesion is solid, and the contents of the cyst were cheese-like white material, and the inner and outer walls of the cyst were smooth and shiny. Pathological results showed that the lesion was TC. The cyst wall is epidermal tissue, the spinous layer and basal layer are intact, there is no granular layer, and the protein in the cyst is dense. Interventions: All lumps were completely surgically removed. Outcomes: The wound healed well after TC resection. There was no recurrence of TC after 1 year follow-up. Lessons: The clinical manifestations of scalp TC are not specific, and the diagnosis needs pathological examination, and the prognosis of total excision is good.

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Diagnosis, management, and follow-up of extensive dermoid cyst of the submental region

Cited by 6 publications

References 10 publications

Clinicopathologic analysis of oral dermoid and epidermoid cysts: a Brazilian multicenter study

Clinicopathologic analysis of oral dermoid and epidermoid cysts: a Brazilian multicenter study

Concurrent Pediatric Lingual and Submental Dermoid Cysts: Case Report and Literature Review

Scalp trichilemmal cyst: A case report

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