Dermoid cyst of the upper lip in a pediatric patient
case report
DOI:
https://doi.org/10.5935/2525-5711.20220005Keywords:
Dermoid cyst, Lip, ChildAbstract
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.
References
Dillon JR, Avillo AJ, Nelson BL. Dermoid cyst of the floor of the mouth. Head Neck Pathol. 2015;9:376-8. DOI: https://doi.org/10.1007/s12105-014-0576-y
Patel H, Mayl J, Chandra B, Pritchett C, Chandra T. Dermoid of the oral cavity: case report with histopathology correlation and review of literature. J Radiol Case Rep. 2016 Dec;10(12):19-27.
Aydın S, Demir MG, Demir N, Şahin S, Kayıpmaz ŞS. A giant plunging sublingual dermoid cyst excised by intraoral approach. J Maxillofac Oral Surg. 2016 Jun;15(2):277-80.
Santos HB, Rolim LS, Barros CC, Cavalcante IL, Freitas RD, Souza LB. Dermoid and epidermoid cysts of the oral cavity: a 48-year retrospective study with focus on clinical and morphological features and review of main topics. Med Oral Patol Oral Cir Bucal. 2020 May;25(3):e364-e9.
Herlin C, Béziat JL, Koppe M, Nimeskern N, Gleizal A. Bilateral dermoid cysts of the upper lip. J Craniofac Surg. 201;22(6):2414-5.
Rapidis AD, Angelopoulos AP, Scouteris C. Dermoid cyst of the floor of the mouth. Report of a case. Br J Oral Surg. 1981 Mar;19(1):43-51.
Brunet-Garcia A, Lucena-Rivero ED, Brunet-Garcia L, Faubel-Serra M. Cystic mass of the floor of the mouth. J Clin Exp Dent. 2018;10(3):e287-e90.
Matsuzaki Y, Kato H, Yoshida S, Watanabe A, Takano M. A rare case of dermoid cyst arising in the upper lip. Int J Surg Case Rep. 2020;74:77-81.
Kormanik KE, Bersu ET, Bentz ML. Dermoid sinus and cyst of the lip. J Craniofac Surg. 2006 Jan;17(1):162-6.
Toriyama K, Kamei Y, Morishita T, Torii S. Congenital dermoid cyst of the upper lip: a case report. J Plast Reconstr Aesthet Surg. 2008 Aug;61(8):970-1.
Rodrigues BTG, Fischer A, Romañach MJ, Andrade BAB, Freire NA, Israel MS. Nasolabial cyst in an elderly patient: a case report. Gerodontology. 2021 Sep;38(3):317-20. DOI: https://doi.org/10.1111/ger.12521
Rodrigues BTG, Rimañach MJ, Andrade BAB, Freire NA, Israel MS. Chondroid syringoma of the lower lip: case report. J Oral Maxillofac Surg Med Pathol. 2021 Jul;33(4):486-8.
Kondo S, Kamatani T, Saito Y, Yoshihama Y, Shirota T, Shintani S. True lateral dermoid cyst of the submandibular region: a case report. J Oral Maxillofac Surg Med Pathol. 2015 Jan;27(1):74-7.
Oginni FO, Oladejo T, Braimah OP, Adenekan AT. Sublingual epidermoid cyst. Surg. 2014 May;4(1):96-8.
Mohta A, Sharma M. Congenital oral cysts in neonates: report of two cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 Nov;102(5):e36-e8.
Oluleke OO, Akau KS, Godwin AI, Kene AI, Sunday AO. Sublingual dermoid cyst: review of 14 cases. Ann Maxillofac Surg. 2020 Jun;10(1):279-83.
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Copyright (c) 2022 Bruno Teixeira Gonçalves Rodrigues, Maria Ivanda Rabelo do Rio, Erika Castro Kuzsminszky, Mário José Romañach, Bruno Augusto Benevenuto de Andrade, Mônica Simões Israel
This work is licensed under a Creative Commons Attribution 4.0 International License.