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Intraoral epidermoid cyst with extensive elastofibromatous changes: an unusual finding

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Abstract

Introduction

Epidermoid cysts (ECs) are rare and occur in the head and neck regions with an incidence from 1.6 to 7% of all cysts. In the oral cavity, approximately 80 ECs have been reported, representing less than 0.01% of all cysts.

Case report

We report a case of a 26-year-old man who developed a large EC in the midline floor of the mouth causing nodular swelling in the submental region and speech and swallowing difficulties. The lesion was surgically excised by intraoral approach and microscopically revealed an EC associated with extensive elastofibromatous changes in the cystic capsule.

Conclusion

Oral EC with extensive elastofibromatous changes is a finding extremely rare. The meaning of this finding is unknown, but a traumatic origin or deposit disorder of elastic fibers is suggested. To the best of our knowledge, intraoral EC with elastofibromatous changes has not been reported to date.

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References

  1. Al-Khateeb TH, Al-Masri NM, Al-Zoubi F (2009) Cutaneous cysts of the head and neck. J Oral Maxillofac Surg 67:52–57

    Article  Google Scholar 

  2. Rajayogeswaran V, Eveson JW (1989) Epidermoid cyst of the buccal mucosa. Oral Surg Oral Med Oral Pathol 67:181–184

    Article  CAS  Google Scholar 

  3. Lewis KG, Bercovitch L, Dill SW, Robinson-Bostom L (2004) Acquired disorders of elastic tissue: part I. Increased elastic tissue and solar elastotic syndromes. J Am Acad Dermatol 51(1):1–21 quis 22-4

    Article  Google Scholar 

  4. Tosios KI, Economou I, Vasilopoulos NN, Koutlas IG (2010) Elastofibromatous changes and hyperelastosis of the oral mucosa. Head Neck Pathol 4:31–36

    Article  Google Scholar 

  5. Darling MR, Kutalowski M, MacPherson DG, Jackson-Boeters L, Wysocki GP (2011) Oral elastofibromatous lesions: a review and case series. Head Neck Pathol. 5:254–258

    Article  Google Scholar 

  6. Manchandu R, Foote J, Alawi F (2008) Elastofibroma presenting as an oral soft tissue mass. J Oral Pathol Med 37:125–126

    Article  Google Scholar 

  7. Nonaka CF, Rêgo DM, Miguel MC, de Souza LB, Pinto LP (2010) Elastofibromatous change of the oral mucosa: case report and literature review. J Cutan Pathol 37:1067–1071

    Article  Google Scholar 

  8. David R, Buchner A (1980) Elastosis in benign and malignant salivary gland tumors. A histochemical and ultrastructural study. Cancer 45:2301–2310

    Article  CAS  Google Scholar 

  9. Azañero WD, Mazzonetto R, León JE, Vargas PA, Lopes MA, de Almeida OP (2009) Lingual cyst with respiratory epithelium: a histopathological and immunohistochemical analysis of two cases. Int J Oral Maxillofac Surg 38:388–392

    Article  Google Scholar 

  10. Potter TJ, Summerlin DJ, Rodgers SF (2004) Elastofibroma: the initial report in the oral mucosa. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 97:64–67

    Article  Google Scholar 

  11. Daley T, Darling M (2011) Elastofibroma oralis. Head Neck Pathol. 5:259–260

    Article  Google Scholar 

  12. Williams HK, Hammond L (2000) Multiple residual cysts containing deposits of AL-amyloid. Histopathology. 37:567–569

    Article  CAS  Google Scholar 

  13. Hobbs CM, Burch DM, Sobin LH (2004) Elastosis and elastofibromatous change in the gastrointestinal tract: a clinicopathologic study of 13 cases and a review of the literature. Am J Clin Pathol 122:232–237

    Article  Google Scholar 

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Funding

Jorge Esquiche León (2016/11419–0), Luciana Yamamoto Almeida (2016/02713-2) and Heitor Albergoni Silveira (2018/12734–2) have received research grants from the State of São Paulo Research Foundation.

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Authors and Affiliations

  1. Oral Medicine, Department of Diagnosis and Surgery, Araraquara Dental School, São Paulo State University (UNESP), Araraquara, São Paulo, Brazil

    Heitor Albergoni Silveira & Andreia Bufalino

  2. Department of Pathology and Forensic Medicine, Ribeirão Preto Medical School (FMRP/USP), University of São Paulo, São Paulo, Brazil

    Luciana Yamamoto Almeida

  3. Universidade Vale do Rio Verde (UninCor), Três Corações, MG, Brazil

    Matheus Henrique Lopes Dominguete & Kamila Prado Pereira Graciano

  4. Oral Pathology, Department of Stomatology, Public Oral Health and Forensic Dentistry, Ribeirão Preto Dental School, University of São Paulo (FORP/USP), Ribeirão Preto, SP, Brazil

    Jorge Esquiche León

Authors
  1. Heitor Albergoni Silveira
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  2. Luciana Yamamoto Almeida
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  3. Matheus Henrique Lopes Dominguete
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  4. Kamila Prado Pereira Graciano
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  5. Andreia Bufalino
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  6. Jorge Esquiche León
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Correspondence to Jorge Esquiche León.

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Silveira, H.A., Almeida, L.Y., Dominguete, M.H.L. et al. Intraoral epidermoid cyst with extensive elastofibromatous changes: an unusual finding. Oral Maxillofac Surg 23, 493–497 (2019). https://doi.org/10.1007/s10006-019-00785-y

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  • DOI: https://doi.org/10.1007/s10006-019-00785-y

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