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Войти в исследования International journal of clinical pediatric dentistry · 2025
Uncommon but Present-A Rare Presentation of Epidermal Cyst of the Tongue in a Pediatric Patient: A Case Report.
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Nayak Prathvi P, Nayak Prajna P, Bhandary Meghna, Dutta Kripa
Аннотация
AIM AND BACKGROUND: Epidermal cysts, also known as epithelial inclusion cysts or epidermoid cysts, have epidermis as the cyst wall with keratin debris inside. Its incidence in the oral cavity is rare and constitutes only 0.01% of all the cystic lesions of the oral cavity.
CASE DESCRIPTION: A 13-year-old male presented with swelling on the left side of the tongue for 1 year. Patient had persistent discomfort in the area, but no complaints of any pain, difficulty in swallowing, or in speech. On examination, a well-circumscribed, round, nontender, cystic swelling of about 1 × 1 cm in size, with a smooth surface, was embedded in the left side of the anterior tongue. Ultrasound scan showed a cystic lesion with a possible diagnosis of epidermoid cyst. Surgical resection was performed under local anesthesia. On histopathology examination cyst showed fibromuscular content with keratin pearls on the basis of which the final diagnosis of epidermal cyst was made.
CONCLUSION: To date, very few cases of epidermal cyst of the tongue have been reported. These cysts, depending on the size and position, can lead to difficulty in swallowing, breathing, or speech. In certain cases, they can be asymptomatic, as seen in our patient, and recurrence is rare when removed in toto.
CLINICAL SIGNIFICANCE: Early identification and surgical excision of an epidermal cyst in the tongue are crucial to prevent potential complications such as secondary infection, enlargement, or interference with oral functions. Histopathological confirmation ensures accurate diagnosis and differentiates it from other cystic lesions, guiding appropriate management.
HOW TO CITE THIS ARTICLE: Nayak PP, Nayak PP, Bhandary M, et al. Uncommon but Present-A Rare Presentation of Epidermal Cyst of the Tongue in a Pediatric Patient: A Case Report. Int J Clin Pediatr Dent 2025;18(11):1397-1399.
CASE DESCRIPTION: A 13-year-old male presented with swelling on the left side of the tongue for 1 year. Patient had persistent discomfort in the area, but no complaints of any pain, difficulty in swallowing, or in speech. On examination, a well-circumscribed, round, nontender, cystic swelling of about 1 × 1 cm in size, with a smooth surface, was embedded in the left side of the anterior tongue. Ultrasound scan showed a cystic lesion with a possible diagnosis of epidermoid cyst. Surgical resection was performed under local anesthesia. On histopathology examination cyst showed fibromuscular content with keratin pearls on the basis of which the final diagnosis of epidermal cyst was made.
CONCLUSION: To date, very few cases of epidermal cyst of the tongue have been reported. These cysts, depending on the size and position, can lead to difficulty in swallowing, breathing, or speech. In certain cases, they can be asymptomatic, as seen in our patient, and recurrence is rare when removed in toto.
CLINICAL SIGNIFICANCE: Early identification and surgical excision of an epidermal cyst in the tongue are crucial to prevent potential complications such as secondary infection, enlargement, or interference with oral functions. Histopathological confirmation ensures accurate diagnosis and differentiates it from other cystic lesions, guiding appropriate management.
HOW TO CITE THIS ARTICLE: Nayak PP, Nayak PP, Bhandary M, et al. Uncommon but Present-A Rare Presentation of Epidermal Cyst of the Tongue in a Pediatric Patient: A Case Report. Int J Clin Pediatr Dent 2025;18(11):1397-1399.