Nasolabial cyst in an elderly patient: A case report

Rodrigues, Bruno Teixeira Gonçalves; Fischer, Ashley; Romañach, Mário José; Andrade, Bruno Augusto Benevenuto de; Freire, Nathália De Almeida; Israel, Mônica Simões

doi:10.1111/ger.12521

Cited by 6 publications

(5 citation statements)

References 15 publications

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“…Inflammatory lesions, such as periapical cysts and granulomas [ 37 , 40 , 41 , 44 , 46 ], wide IF [ 9 , 36 , 37 , 41 , 44 – 46 ], odontogenic keratocyst [ 40 ], nasolabial cyst [ 40 , 47 ], and adenomatoid odontogenic tumor [ 48 ], may be given a place in the differential diagnosis of NPDCs. The radiographic appearance of a periapical cyst/granuloma with a maxillary central incisor tooth often simulates that of an asymmetric NPDC.…”

Section: Discussionmentioning

confidence: 99%

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Nasopalatine Duct Cyst with Impacted Inverted Mesiodens: A Rare Case Report and Literature Review

Hasan

Popli

Ahmad

et al. 2022

Case Reports in Dentistry

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Nasopalatine duct cyst (NPDC) is a non-odontogenic, developmental epithelial cyst that accounts for 1% of maxillary cysts. It often arises due to the spontaneous proliferation of the epithelial tissue remnants, although trauma, bacterial infection, and mucous retention may also trigger the proliferation. Owing to its slow-growing, asymptomatic nature, the cyst is often discovered as an accidental finding during routine clinical and radiographic examinations. However, the majority of cases present as a tiny, asymptomatic swelling just posterior to the palatine papillae. Radiographically, it appears as a well-defined oval or round radiolucency in the maxillary anterior teeth region and should be differentially diagnosed with inflammatory periapical lesions and a wide incisive foramen. A pulp vitality test is essential to rule out lesions of endodontic origin. Microscopically, NPDCs display a mixed pattern of the epithelial lining and exhibit neurovascular bundles (small to medium-sized nerves, arteries, and veins), and minor salivary glands in the cystic connective tissue, a distinctive feature facilitating a confirmatory diagnosis. Enucleation and marsupialization remain the treatment of choice. NPDC associated with impacted mesiodens is an extremely uncommon entity. A comprehensive literature search carried out on the PubMed and Google Scholar search engines revealed only three cases of NPDC with impacted mesiodens to date. The purpose of this study is to report an extremely rare case of NPDC associated with an impacted inverted mesiodens in a 19-year-old male patient who presented with an asymptomatic swelling in the maxillary anterior teeth region. To the best of our knowledge, this is only the fourth reported case of NPDC with impacted mesiodens.

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Section: Discussionmentioning

confidence: 99%

“…Nasolabial cysts are soft tissue cysts and do not exhibit bone involvement, hence not apparent on the radiographic examination. In addition, the nasolabial cysts most commonly occur in the nasolabial sulcus, lateral to the midline [ 40 , 47 ].…”

Section: Discussionmentioning

confidence: 99%

Nasopalatine Duct Cyst with Impacted Inverted Mesiodens: A Rare Case Report and Literature Review

Hasan

Popli

Ahmad

et al. 2022

Case Reports in Dentistry

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“…Clinical differential diagnosis is extensive and includes a spectrum of oral lesions such as odontogenic and non odontogenic cysts and minor salivary gland tumors [10][11][12][13] . These lesions are often detected by the patient or during a routine dental exam, specially once located on the lips.…”

Section: Discussionmentioning

confidence: 99%

Dermoid cyst of the upper lip in a pediatric patient

Rodrigues¹,

Rio²,

Kuzsminszky³

et al. 2022

J Oral Diag

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Introduction: Dermoid cyst (DC) is a slow-growing benign developmental cysts that arises from ectodermal tissue and can occur anywhere in the body, with only 34% occurring in the head and neck region, of which 6.5% are located in the mouth floor and rarely in the upper lip. It usually presents as painless, slow-growing lesion with doughy consistency and is often soft and well encapsulated - generally observed on the second to third decade of life. Objective: The objective of this article is to report a case of DC, focusing on its clinical and histopathological characteristics, and to discuss possible clinical presentations to assist in the diagnosis of this rare lesion in the oral cavity. Case Report: A 4-year-old female was referred for evaluation of an asymptomatic swelling in the left upper lip mucosa region lasting 1 year. Extraoral clinical examination showed no alterations. Intraoral clinical examination revealed the presence of a single painless well-defined nodular, sessile, non-tender swelling covered by normal oral mucosa, and located in the upper labial mucosa. An excisional biopsy was performed, and microscopic examination revealed a cystic cavity covered by orthokeratinized stratified squamous epithelium with hair follicles and sebaceous glands found within the fibrous wall. Patient recovery was uneventful and there are no signs of local recurrence in a two-year clinical follow-up. Conclusion: DC can occur anywhere in the body, but once in the oral cavity, it is rarely observed in the upper lip.

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“…Interestingly, a differential diagnosis frequently considered by clinicians was the nasolabial cyst (NC). Although these lesions may appear in areas adjacent to the bone at the apex of the root of the incisors, just beneath the lip, they are rare in this location ( 15 ). Usually, NCs are often located laterally to the midline in the nasolabial sulcus.…”

Section: Discussionmentioning

confidence: 99%

“…Usually, NCs are often located laterally to the midline in the nasolabial sulcus. Besides, NCs are soft tissue lesions with no bone involvement, and their visualization is not possible in radiographic exams, unlike the NDC ( 15 ).…”

Section: Discussionmentioning

confidence: 99%

Clinicopathologic features of nasopalatine duct cysts: A retrospective study in two Brazilian oral and maxillofacial pathology referral centers

Cavalcante¹,

Barros²,

Cunha³

et al. 2021

Med Oral

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Background Nasopalatine duct cyst (NDC) is the most common non-odontogenic cyst in the oral cavity. Clinically it is not difficult to suspect these lesions based on clinical and radiographic appearance. However, the histopathological diagnosis may be difficult due to the broad morphological diversity of these lesions. The objective was to analyze the clinicopathological features of NDCs diagnosed in two oral and maxillofacial pathology services in the Brazilian northeast. Material and Methods A retrospective clinicopathologic study was performed. A total of 18,121 clinical records of oral lesions from two oral and maxillofacial pathology services in Brazil were analyzed (2000-2020). All NDCs cases were revised and demographic, clinical, radiographic, and histopathological data were collected. Results Among 18,121 diagnoses in the oral pathology services, 45 (0.2%) were NDCs. The series comprises 24 males (53.3%) and 21 females (46.7%), with a mean age of 43.2 years-old. Most lesions were asymptomatic (n = 27, 60%) with an mean size of 2.1 cm. Microscopically, the non-keratinized stratified squamous epithelium was the most common (66.7%). However, in 88.9% of cases, the epithelial lining was varied and composed of two or more types of epithelium. There was no significant association between the type of epithelium and the size of the cysts ( p = 0.389). Nerve, blood vessels, hemorrhage, and chronic inflammatory infiltrate were commonly observed. In contrast, there was a low frequency of mucous glands, sebaceous glands, cholesterol clefts, and multinucleated giant cells. Conclusions The clinical, radiographic, and microscopic findings observed in this study are similar to those reported in the literature. Due to the morphological diversity of NDC, it is needed to correlate its histopathological features with the clinical and radiographic findings to establish a correct diagnosis. Key words: Oral cavity, oral pathology, nonodontogenic cysts, diagnosis.

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Nasolabial cyst in an elderly patient: A case report

Cited by 6 publications

References 15 publications

Nasopalatine Duct Cyst with Impacted Inverted Mesiodens: A Rare Case Report and Literature Review

Nasopalatine Duct Cyst with Impacted Inverted Mesiodens: A Rare Case Report and Literature Review

Dermoid cyst of the upper lip in a pediatric patient

Clinicopathologic features of nasopalatine duct cysts: A retrospective study in two Brazilian oral and maxillofacial pathology referral centers

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