Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-27T21:57:48.721Z Has data issue: false hasContentIssue false
  • English
  • Français

Lingual dermoid cyst with congenital discharging sinus: a rare entity

Published online by Cambridge University Press:  10 December 2012

Z Sun ,
L Sun ,
Y Gao  and
X Ma
Z Sun
Affiliation:
Department of Oral and Maxillofacial Radiology, School and Hospital of Stomatology, Peking University, Beijing, PR China
L Sun
Affiliation:
Central Laboratory, School and Hospital of Stomatology, Peking University, Beijing, PR China
Y Gao
Affiliation:
Department of Pathology, School and Hospital of Stomatology, Peking University, Beijing, PR China
X Ma*
Affiliation:
Department of Oral and Maxillofacial Radiology, School and Hospital of Stomatology, Peking University, Beijing, PR China
*
Address for correspondence: Dr Xuchen Ma, Department of Oral and Maxillofacial Radiology, Peking University School and Hospital of Stomatology, 22 Zhongguancun South St, Haidian District, Beijing 100081, PR China Fax: +86 10 62173402 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

There have been few reports of lingual dermoid cysts with a congenital discharging fistula. We report such a case, which mimicked lipoma on computed tomography, and we discuss relevant clinical and radiological features.

Method:

We present a case report and a review of the English language literature concerning lingual dermoid cysts either mimicking lipoma or with a congenital discharging sinus.

Results:

A 35-year-old man presented with a lingual mass associated with a congenital fistula in the midline of the tongue dorsum, which discharged abnormal secretions. Computed tomography images showed that the lesion was well defined and contained homogeneous fatty tissue giving computed tomography attenuation values of −120 Hounsfield units.

Conclusion:

Lingual dermoid cysts may develop with a midline discharging fistula, and may exhibit radiological similarity to lipomas on computed tomography.

Keywords

TongueDermoid CystPathologyTomography, X-Ray Computed
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 2 , February 2013 , pp. 211 - 214
Copyright
Copyright © JLO (1984) Limited 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Dimtsas, S, Theologie-Lygidakis, N, Iatrou, I. Intralingual dermoid cyst in an infant presenting swallowing and sleeping difficulties. J Clin Pediatr Dent 2010;34:335–7CrossRefGoogle Scholar
2Shaari, CM, Ho, BT, Shah, K, Biller, HF. Lingual dermoid cyst. Otolaryngol Head Neck Surg 1995;112:476–8CrossRefGoogle ScholarPubMed
3Miles, LP, Naidoo, LC, Reddy, J. Congenital dermoid cyst of the tongue. J Laryngol Otol 1997;111:1179–82CrossRefGoogle ScholarPubMed
4Islam, S, Hoffman, GR. Parotid dermoid cyst: a rare entity. J Laryngol Otol 2009;123:e7CrossRefGoogle ScholarPubMed
5Meyer, I. Dermoid cysts (dermoids) of the floor of the mouth. Oral Surg Oral Med Oral Pathol 1955;8:1149–64CrossRefGoogle ScholarPubMed
6Raewyn, C, Paul, W. Management of congenital lingual dermoid cysts. Int J Pediatr Otorhinolaryngol 2010;74:567–71CrossRefGoogle ScholarPubMed
7Giunta, JL, Friedman, AL, Karp, R. Dermoid cyst of the tongue with sinus tract. Oral Surg Oral Med Oral Pathol 1982;53:450–3CrossRefGoogle ScholarPubMed
8Korchin, L. Dermoid cyst with lingual sinus tract. Report of a case. Oral Surg Oral Med Oral Pathol 1974;37:175–8CrossRefGoogle ScholarPubMed
9Becker, M. Oral cavity and oropharynx. In: Mafee, MF, Valvassori, GE, Becker, M, eds. Imaging of the Head and Neck, 2nd edn.Stuttgart, New York: Thieme, 2005;720Google Scholar
10Mrad Dali-Grissa, K, Zrig, A, Mhiri-Souii, M, Arifa-Achour, N, Khochtali, H, Tlili-Graies, K. Intralingual dermoid cyst: imaging features of a giant cyst [in French]. J Radiol 2005;86:502–5CrossRefGoogle ScholarPubMed
11Dattilo, DJ, Ige, JT, Nwana, EJ. Intraoral lipoma of the tongue and submandibular space: report of a case. J Oral Maxillofac Surg 1996;54:915–17CrossRefGoogle ScholarPubMed
12Chung, JC, Ng, RW. A huge tongue lipoma. Otolaryngol Head Neck Surg 2007;137:830–1CrossRefGoogle ScholarPubMed
13Nielsen, GP, Mandahl, N. Lipoma. Lyon: IARC, 2002Google Scholar
14Smith, AS, Benson, JE, Blaser, SI, Mizushima, A, Tarr, RW, Bellon, EM. Diagnosis of ruptured intracranial dermoid cyst: value MR over CT. AJNR Am J Neuroradiol 1991;12:175–80Google ScholarPubMed
15Kang, MG, Kim, KJ, Seok, JI, Lee, DK. Intracranial dermoid cyst rupture with midbrain and thalamic infarction. Neurology 2009;72:769CrossRefGoogle ScholarPubMed
16Kormanik, KE, Bersu, ET, Bentz, ML. Dermoid sinus and cyst of the lip. J Craniofac Surg 2006;17:162–6CrossRefGoogle ScholarPubMed
17Cambiaghi, S, Micheli, S, Talamonti, G, Maffeis, L. Nasal dermoid sinus cyst. Pediatr Dermatol 2007;24:646–50CrossRefGoogle ScholarPubMed
18Baarsma, EA. The median nasal sinus and dermoid cyst. Arch Otorhinolaryngol 1980;226:107–13CrossRefGoogle ScholarPubMed
19Morimoto, K, Takemoto, O, Nishikawa, M, Umegaki, M, Nishino, A. Nasal dermal sinus with a dermoid cyst. Pediatr Neurosurg 2002;36:218–19CrossRefGoogle ScholarPubMed
20Tien, AM, Tien, DR. Orbital dermoid cyst presenting with a discharging sinus tract. J Pediatr Ophthalmol Strabismus 2009:e1–2Google ScholarPubMed
21Shen, WC, Chiou, TL, Lin, TY. Dermal sinus with dermoid cyst in the upper cervical spine: case note. Neuroradiology 2000;42:51–3CrossRefGoogle ScholarPubMed
22Lee, JK, Kim, JH, Kim, JS, Kim, TS, Jung, S, Kim, SH et al. Cervical dermal sinus associated with dermoid cyst. Childs Nerv Syst 2001;17:491–3CrossRefGoogle ScholarPubMed
23Akhaddar, A, Jiddane, M, Chakir, N, El Hassani, R, Moustarchid, B, Bellakhdar, F. Cerebellar abscesses secondary to occipital dermoid cyst with dermal sinus: case report. Surg Neurol 2002;58:266–70CrossRefGoogle ScholarPubMed
24Layadi, F, Louhab, N, Lmejjati, M, Aniba, K, Ait Elqadi, A, Ait Benali, S. Cerebellar dermoid cyst with occipital dermal sinus. Report of two pediatric cases. Pediatr Neurosurg 2006;42:387–90CrossRefGoogle ScholarPubMed
25King, RC, Smith, BR, Burk, JL. Dermoid cyst in the floor of the mouth. Review of the literature and case reports. Oral Surg Oral Med Oral Pathol 1994;78:567–76CrossRefGoogle ScholarPubMed