swelling. The birth history was unremarkable, and the parents stated that the swelling
had been present since birth. During the past few months, the oral swelling had enlarged
progressively; however, the parents denied observing any difficulties with feeding
or breathing. The parents noted no other medical abnormalities. On examination, a
large, distensible mass was palpated at the anterior floor of the mouth. The overlying
mucosa had a bluish tinge, and both submandibular duct orifices were present, patent,
and laterally displaced by the lesion. There were no palpable neck masses. Magnetic
resonance imaging of the face was performed 1 month before at an outside hospital
and revealed a 1.5- × 1.7- × 1.8-cm, well-defined, predominantly cystic, lesion located
within the root of the tongue (Figure 1). There was a small, enhancing, soft-tissue nodule ventrally.
Figure 1Magnetic resonance imaging of the face with contrast T2 sequence showing a hyperintense
1.5- × 1.7- × 1.8-cm cystic lesion at the anterior root of tongue. The dimensions
and location as appreciated on sagittal (A), axial (B), and coronal (C) views.
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References
Oral foregut cyst in the ventral tongue: a case report.
J Korean Assoc Oral Maxillofac Surg. 2014; 40: 313-315
Foregut duplication cysts in the head and neck: presentation, diagnosis, and management.
Arch Otolaryngol Head Neck Surg. 2010; 136: 778-782
Management of a large antenatally recognized foregut duplication cyst of the tongue causing respiratory distress at birth.
JAMA Otolaryngol Head Neck Surg. 2014; 140: 1065-1069
Oral foregut duplication cysts: a rare and fascinating congenital lesion. Case report and review of the literature.
Am J Otolaryngol. 2017; 38: 724-725
Zhao YF, Jia Y, Chen XM, Zhang WF. Clinical review of 580 ranulas. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 20014;98(3):281-287.
Modern management and pathophysiology of ranula: literature review.
Head Neck. 2010; 32: 1310-1320
Congenital ranula in a newborn: a rare presentation.
Indian J Otolaryngol Head Neck Surg. 2012; 64: 295-297
Congenital lesions of epithelial origin.
Otolaryngol Clin North Am. 2015; 48: 209-223
Dermoid, epidermoid, and teratomatous cysts of the tongue and the floor of the mouth.
J Oral Surg. 1974; 32: 107-111
Dermoid of the oral cavity: case report with histopathology correlation and review of literature.
J Radiol Case Rep. 2016; 10: 19-27
Midline craniofacial masses in children.
Semin Plast Surg. 2016; 30: 176-180
Sub-lingual dermoid cyst.
Indian J Otolaryngol Head Neck Surg. 2014; 56: 218-220
Dermoid cyst of the floor of the mouth: CT appearance.
AJR Am J Roentgenol. 1983; 141: 1239-1240
Oral lymphoepithelial cyst: a clinicopathological study of 26 cases and review of the literature.
J Clin Exp Dent. 2017; 9: e1035-e1043
Clinicopathological and immunohistochemical features of the oral lymphoepithelial cyst: a multicenter study.
J Oral Pathol Med. 2020; 49: 219-226
Lymphoepithelial cyst of the tongue.
J Dent Sci. 2019; 14: 209-210
Oral lymphoepithelial cyst: a collaborative clinicopathologic study of 132 cases from Brazil.
Head Neck Pathol. 2022; 16: 268-277
Floor of mouth thyroglossal duct cyst: a rare embryologic course.
J Surg Case Rep. 2019; : rjz303
Biography
Dr. Trinh is a resident, Division of Oral and Maxillofacial Pathology, Columbia University Irving Medical Center, New York, NY.
Biography
Dr. Lee is a resident, Division of Oral and Maxillofacial Surgery, Columbia University Irving Medical Center, New York, NY.
Biography
Dr. Eisig is the chairman, Division of Oral and Maxillofacial Surgery, Columbia University Irving Medical Center, New York, NY.
Biography
Dr. Peters is an assistant professor, Division of Oral and Maxillofacial Pathology, Columbia University Irving Medical Center, New York, NY.
Article Info
Publication History
Published online: December 14, 2022
Accepted:
October 14,
2022
Received in revised form:
September 2,
2022
Received:
August 8,
2022
Publication stage
In Press Corrected Proof
Footnotes
Disclosures. None of the authors reported any disclosures.
Diagnostic Challenge is published in collaboration with the American Academy of Oral and Maxillofacial Pathology and the American Academy of Oral Medicine.
Identification
DOI: https://doi.org/10.1016/j.adaj.2022.10.013
Copyright
© 2022 American Dental Association. All rights reserved.
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