Hair discharging from the frenulum: Unusual presentation of a lingual dermoid cyst

Unusual Presentation of Intralingual Dermoid Cyst with Review of the Literature

“…Two cases involved adults, one in his 20s and the other in his 30s, which is consistent with the presentation of most dermoid cysts [10,11]. Our case is the sixth to describe a dermoid cyst in the tongue itself [10] and the first case to describe a patient nearly 60 years of age with this entity. Second, our patient presented with TMJ pain and trismus, but did not complain of dysphagia, dysphonia, or dyspnea secondary to compression from the mass.…”

“…On extensive review of the literature via PubMed, most cases involving the tongue itself were found to involve patients in their neonatal or infancy years [4,10]. Two cases involved adults, one in his 20s and the other in his 30s, which is consistent with the presentation of most dermoid cysts [10,11].…”

A Large Sublingual Dermoid Cyst Causing Dysphagia and Dysphonia: A Case Review Study

“…In the diagnostic image, you can see intracystic floating corpuscles that contain lipids (i.e., the sack of marble sign). These are pathognomonic for dermoid cysts and usually hypodense on CT, hyper/hypo intense on T1-weighted MRI, and hypointense on T2-weighted MRI, although cystic hygroma, branchial cleft cyst, sublingual ranula, and benign and malignant tumors of the mouth are all considered as radiological differential diagnosis of dermoid cyst [27,28]. Because of these marbles, a percutaneous fine needle aspiration may not be recommended.…”