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Extraoral Sublingual Epidermoid Cyst: A Case Report


Affiliations
1 Department of Oral Medicine and Radiology, Government Dental College and Hospital, Asarwa, Ahmedabad - 380016, Gujarat, India
2 Department of Dentistry, R.H and C.H.C, Gadat, Tapi, Vyara, Gujarat, India
     

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Epidermoid Cysts (EC) are rare cysts of the head and neck region, which may confuse with many soft tissue sublingual mass pathologies. A presentation of such cyst is important to decide the surgical approach. The aim of this paper was to present the role of USG and MRI for determine the surgical approach. A female patient presented with chronic asymptomatic swelling over left submandibular neck which was single diffuse, non-tender, soft, compressible, fluctuant with normal overlying skin. Swelling was not movable with deglutination and protrusion of tongue. MRI and USG guided FNAC was conclusive to diagnose the lesion. Histological examination confirmed the diagnosis. Lateral neck swelling should be considered as EC for differential diagnosis. A careful physical examination and fine needle aspiration and diagnostic imaging should be performed which clarifies the surgical approach.


Keywords

Epidermoid Cyst, Lateral Neck Swelling, Ultrasound, FNAC, MRI.
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  • Extraoral Sublingual Epidermoid Cyst: A Case Report

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Authors

Piyush G. Limdiwala
Department of Oral Medicine and Radiology, Government Dental College and Hospital, Asarwa, Ahmedabad - 380016, Gujarat, India
Jigna S. Shah
Department of Oral Medicine and Radiology, Government Dental College and Hospital, Asarwa, Ahmedabad - 380016, Gujarat, India
Shilpa J. Parikh
Department of Oral Medicine and Radiology, Government Dental College and Hospital, Asarwa, Ahmedabad - 380016, Gujarat, India
Nayankumar K. Chaudhari
Department of Dentistry, R.H and C.H.C, Gadat, Tapi, Vyara, Gujarat, India

Abstract


Epidermoid Cysts (EC) are rare cysts of the head and neck region, which may confuse with many soft tissue sublingual mass pathologies. A presentation of such cyst is important to decide the surgical approach. The aim of this paper was to present the role of USG and MRI for determine the surgical approach. A female patient presented with chronic asymptomatic swelling over left submandibular neck which was single diffuse, non-tender, soft, compressible, fluctuant with normal overlying skin. Swelling was not movable with deglutination and protrusion of tongue. MRI and USG guided FNAC was conclusive to diagnose the lesion. Histological examination confirmed the diagnosis. Lateral neck swelling should be considered as EC for differential diagnosis. A careful physical examination and fine needle aspiration and diagnostic imaging should be performed which clarifies the surgical approach.


Keywords


Epidermoid Cyst, Lateral Neck Swelling, Ultrasound, FNAC, MRI.

References





DOI: https://doi.org/10.18311/jpfa%2F2020%2F25763