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Magnetic resonance imaging assessment of tumorous lesions in the floor of the mouth: case reports and review of the literature

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Abstract

Objectives

Magnetic resonance (MR) imaging may provide some information as to the extent and tissue characteristics of a cancerous mass, but the imaging features of lesions in the floor of the mouth have not been sufficiently clarified. MR imaging features of tumescent lesions in this region were characterized, and the differential diagnoses are discussed.

Methods

MR images of 12 patients with tumescent lesions in the floor of the mouth (three patients with squamous cell carcinoma, two with adenoid cystic carcinoma, one with hemangioma, one with schwannoma, one with lipoma, and four with ranula) were reviewed. The literature on the imaging features of tumescent disease in the floor of the mouth was searched using the Medline database.

Results

Six types of tumescent lesions in the floor of the mouth are presented. The differential diagnosis through a review of the references is discussed. Malignant tumors were demonstrated as ill-defined masses. MR images were good at showing the internal structures, such as fluid, hemorrhage, fat, nerves, calculus (phlebolith), cholesterol, and keratin, as different signal intensities. Therefore, MR images gave clues for the differential diagnosis.

Conclusion

MR images presented the distinctive features or the extent of the lesions and were therefore considered useful for a more accurate diagnosis prior to treatment.

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References

  1. M Sumi M Izumi K Yonetsu T Nakamura (1999) ArticleTitleSublingual gland: MR features of normal and diseased states AJR Am J Roentgenol 172 717–22 Occurrence Handle10063867

    PubMed  Google Scholar 

  2. M Ozturk I Yorulmaz E Guney N Ozcan (2000) ArticleTitleMasses of the tongue and floor of the mouth: findings on magnetic resonance imaging Eur Radiol 10 1669–74 Occurrence Handle11044946 Occurrence Handle10.1007/s003300000475

    Article  PubMed  Google Scholar 

  3. T Kaneda M Minami K Ozawa Y Akimoto M Okada H Yamamoto et al. (1994) ArticleTitleImaging tumors of the minor salivary glands Oral Surg Oral Med Oral Pathol 78 385–90 Occurrence Handle7970603 Occurrence Handle10.1016/0030-4220(94)90073-6

    Article  PubMed  Google Scholar 

  4. S Takashima M Ueda A Shibata F Takayama M Momose K Yamashita (2001) ArticleTitleMR imaging of the lingual thyroid. Comparison to other submucosal lesions Acta Radiol 42 376–82 Occurrence Handle11442461

    PubMed  Google Scholar 

  5. R Murakami Y Baba R Nishimura T Baba T Nakaura T Ishikawa et al. (1999) ArticleTitleMR imaging of squamous cell carcinoma of the floor of the mouth. Appearance of the sublingual and submandibular glands Acta Radiol 40 276–81 Occurrence Handle10335965 Occurrence Handle10.3109/02841859909175554

    Article  PubMed  Google Scholar 

  6. J Asaumi H Shigehara H Konouchi Y Yanagi M Hisatomi H Matsuzaki et al. (2002) ArticleTitleAssessment of carcinoma in the sublingual region based on magnetic resonance imaging Oncol Rep 9 1283–7 Occurrence Handle12375035

    PubMed  Google Scholar 

  7. MR McFall GH Irvine JW Eveson (1997) ArticleTitleAdenoid cystic carcinoma of the sublingual salivary gland in a 16-year-old female – report of a case and review of the literature J Laryngol Otol 111 485–8 Occurrence Handle9205617

    PubMed  Google Scholar 

  8. Y Monzen N Hirai T Nishisaka K Hayashi (2001) ArticleTitleMR imaging of synovial sarcoma arising from the floor of the mouth: a case report Radiat Med 19 47–50 Occurrence Handle11305619

    PubMed  Google Scholar 

  9. H Cankaya O Unal S Ugras K Yuca M Kiris (2003) ArticleTitleHemangioma with phleboliths in the sublingual gland as a cause of submental opacity Tohoku J Exp Med 199 187–91 Occurrence Handle12703663 Occurrence Handle10.1620/tjem.199.187

    Article  PubMed  Google Scholar 

  10. R Kawakami T Kaneko M Kadoya T Matsushita Y Fujinaga K Oguchi et al. (2004) ArticleTitleSchwannoma in the sublingual space Dentomaxillofac Radiol 33 259–61 Occurrence Handle15533981 Occurrence Handle10.1259/dmfr/93898716

    Article  PubMed  Google Scholar 

  11. JB Charrier C Bertolus T Buisson G Couly S Bennaceur (2001) ArticleTitleA case of primitive floor of the mouth paraganglioma in a child: an embryological theory unifying viscerocranium appended paragangliomas Head Neck 23 510–3 Occurrence Handle11360316 Occurrence Handle10.1002/hed.1069

    Article  PubMed  Google Scholar 

  12. MJ Shelley KH Yeung NB Bowley KJ Sneddon (2002) ArticleTitleA rare case of an extensive plunging ranula: discussion of imaging, diagnosis, and management Oral Surg Oral Med Oral Pathol Oral Radiol Endod 93 743–6 Occurrence Handle12142883 Occurrence Handle10.1067/moe.2002.122504

    Article  PubMed  Google Scholar 

  13. S Takagi N Mizukawa T Kimura JI Asaumi (2003) ArticleTitleTreatment of a plunging ranula with fenestration and continuous pressure Br J Oral Maxillofac Surg 41 410–3 Occurrence Handle14614872 Occurrence Handle10.1016/S0266-4356(03)00083-4

    Article  PubMed  Google Scholar 

  14. Y Morita K Sato M Kawana S Takahasi F Ikarashi (2003) ArticleTitleTreatment of ranula – excision of the sublingual gland versus marsupialization Auris Nasus Larynx 30 311–4 Occurrence Handle12927300 Occurrence Handle10.1016/S0385-8146(03)00058-0

    Article  PubMed  Google Scholar 

  15. L Desnyder R Hermans J Gaens AL Baert (1998) ArticleTitleDermoid cyst in the floor of the mouth J Belge Radiol 81 238 Occurrence Handle9880963

    PubMed  Google Scholar 

  16. FS De Ponte A Brunelli E Marchetti DJ Bottini (2002) ArticleTitleSublingual epidermoid cyst J Craniofac Surg 13 308–10 Occurrence Handle12000893 Occurrence Handle10.1097/00001665-200203000-00024

    Article  PubMed  Google Scholar 

  17. D Bloom D Carvalho J Edmonds A Magit (2002) ArticleTitleNeonatal dermoid cyst of the floor of the mouth extending to the midline neck Arch Otolaryngol Head Neck Surg 128 68–70 Occurrence Handle11784258

    PubMed  Google Scholar 

  18. S Fuchshuber G Grevers WJ Issing (2002) ArticleTitleDermoid cyst of the floor of the mouth – a case report Eur Arch Otorhinolaryngol 259 60–2 Occurrence Handle11954933 Occurrence Handle10.1007/s004050100413

    Article  PubMed  Google Scholar 

  19. N Said-Al-Naief JE Fantasia JJ Sciubba S Ruggiero S Sachs (1999) ArticleTitleHeterotopic oral gastrointestinal cyst: report of 2 cases and review of the literature Oral Surg Oral Med Oral Pathol Oral Radiol Endod 88 80–6 Occurrence Handle10442949 Occurrence Handle10.1016/S1079-2104(99)70197-6

    Article  PubMed  Google Scholar 

  20. MK Chen E Gross TE Lobe (1997) ArticleTitlePerinatal management of enteric duplication cysts of the tongue Am J Perinatol 14 161–3 Occurrence Handle9259920

    PubMed  Google Scholar 

  21. P Kadkade T Planksy JP Bent M Prasad (2004) ArticleTitleRadiology quiz case 2. Heterotopic gastrointestinal cyst of the oral cavity Arch Otolaryngol Head Neck Surg 130 373–5 Occurrence Handle15023853 Occurrence Handle10.1001/archotol.130.3.373

    Article  PubMed  Google Scholar 

  22. K Kong P Walker J Cassey S O’Callaghan (2004) ArticleTitleForegut duplication cyst arising in the floor of mouth Int J Pediatr Otorhinolaryngol 68 827–30 Occurrence Handle15126026 Occurrence Handle10.1016/j.ijporl.2004.01.011

    Article  PubMed  Google Scholar 

  23. RM Nagler D Laufer (1997) ArticleTitleTumors of the major and minor salivary glands: review of 25 years of experience Anticancer Res 17 701–8 Occurrence Handle9066605

    PubMed  Google Scholar 

  24. J Asaumi Y Yanagi H Konouchi M Hisatomi H Matsuzaki K Kishi (2004) ArticleTitleApplication of dynamic contrast-enhanced MRI to differentiate malignant lymphoma from squamous cell carcinoma in the head and neck Oral Oncol 40 579–84 Occurrence Handle15063385 Occurrence Handle10.1016/j.oraloncology.2003.12.002

    Article  PubMed  Google Scholar 

  25. SH Kim MH Han SW Park KH Chang (2001) ArticleTitleRadiologic–pathologic correlation of unusual lingual masses. Part II: benign and malignant tumors Korean J Radiol 2 42–51 Occurrence Handle11752968 Occurrence Handle10.3348/kjr.2001.2.1.42

    Article  PubMed  Google Scholar 

  26. RH Spiro AG Huvos EW Strong (1974) ArticleTitleAdenoid cystic carcinoma of salivary origin. A clinicopathologic study of 242 cases Am J Surg 128 512–20 Occurrence Handle4371368 Occurrence Handle10.1016/0002-9610(74)90265-7

    Article  PubMed  Google Scholar 

  27. Y Ariji N Fuwa M Toyama M Katoh M Gotoh E Ariji (2004) ArticleTitleMR features of masticatory muscles in adenoid cystic carcinoma involving the masticator space Dentomaxillofac Radiol 33 345–50 Occurrence Handle15585815 Occurrence Handle10.1259/dmfr/45532072

    Article  PubMed  Google Scholar 

  28. A Tanaka F Mihara T Yoshiura O Togao Y Kuwabara Y Natori et al. (2004) ArticleTitleDifferentiation of cavernous hemangioma from schwannoma of the orbit: a dynamic MRI study AJR Am J Roentgenol 183 1799–804 Occurrence Handle15547232

    PubMed  Google Scholar 

  29. LT Bui-Mansfield CP Myers D Fellows G Mesaros (2002) ArticleTitleBilateral temporal fossa hemangiomas AJR Am J Roentgenol 179 790 Occurrence Handle12185065

    PubMed  Google Scholar 

  30. AJ Macdonald KL Salzman HR Harnsberger (2003) ArticleTitleGiant ranula of the neck: differentiation from cystic hygroma AJNR Am J Neuroradiol 24 757–61 Occurrence Handle12695218

    PubMed  Google Scholar 

  31. A Gomez-Brouchet MB Delisle C Cognard A Bonafe JP Charlet O Deguine et al. (2001) ArticleTitleVestibular schwannomas: correlations between magnetic resonance imaging and histopathologic appearance Otol Neurotol 22 79–86 Occurrence Handle11314722 Occurrence Handle10.1097/00129492-200101000-00016

    Article  PubMed  Google Scholar 

  32. J Lin W Martel (2001) ArticleTitleCross-sectional imaging of peripheral nerve sheath tumors: characteristic signs on CT, MR imaging, and sonography AJR Am J Roentgenol 176 75–82 Occurrence Handle11133542

    PubMed  Google Scholar 

  33. MD Murphey JF Carroll DJ Flemming TL Pope FH Gannon MJ Kransdorf (2004) ArticleTitleFrom the archives of the AFIP: benign musculoskeletal lipomatous lesions Radiographics 24 1433–66 Occurrence Handle15371618

    PubMed  Google Scholar 

  34. C Salvatore B Antonio W Del Vecchio A Lanza G Tartaro C Giuseppe (2003) ArticleTitleGiant infiltrating lipoma of the face: CT and MR imaging findings AJNR Am J Neuroradiol 24 283–6 Occurrence Handle12591650

    PubMed  Google Scholar 

  35. N Tuncbilek HM Karakas OO Okten (2005) ArticleTitleDynamic contrast enhanced MRI in the differential diagnosis of soft tissue tumors Eur J Radiol 53 500–5 Occurrence Handle15741025 Occurrence Handle10.1016/j.ejrad.2004.04.012

    Article  PubMed  Google Scholar 

  36. T Kurabayashi M Ida M Yasumoto N Ohbayashi N Yoshino A Tetsumura et al. (2000) ArticleTitleMRI of ranulas Neuroradiology 42 917–22 Occurrence Handle11198213 Occurrence Handle10.1007/s002340000341

    Article  PubMed  Google Scholar 

  37. T Yilmaz OF Unal G Altinok (2001) ArticleTitlePathology quiz case 2. Epidermal inclusion cyst Arch Otolaryngol Head Neck Surg 127 1391–3 Occurrence Handle11701082

    PubMed  Google Scholar 

  38. Y Ariyoshi M Shimahara (2003) ArticleTitleMagnetic resonance imaging of a submental dermoid cyst: report of a case J Oral Maxillofac Surg 61 507–10 Occurrence Handle12684971 Occurrence Handle10.1053/joms.2003.50097

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Radiology, Aichi-Gakuin University School of Dentistry, 2-11 Suemori-dori, Chikusa-ku, Nagoya, 464-8651, Japan

    Yoshiko Ariji, Masakazu Gotoh, Munetaka Naitoh, Masahiro Izumi & Eiichiro Ariji

  2. Second Department of Oral and Maxillofacial Surgery, Aichi-Gakuin University School of Dentistry, Nagoya, Japan

    Kazuo Shimozato

  3. First Department of Oral and Maxillofacial Surgery, Aichi-Gakuin University School of Dentistry, Nagoya, Japan

    Kenichi Kurita

  4. Department of Oral Pathology, Aichi-Gakuin University School of Dentistry, Nagoya, Japan

    Hatsuhiko Maeda

Authors
  1. Yoshiko Ariji
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  2. Masakazu Gotoh
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  3. Munetaka Naitoh
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  4. Masahiro Izumi
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  5. Kazuo Shimozato
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  6. Kenichi Kurita
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  7. Hatsuhiko Maeda
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  8. Eiichiro Ariji
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Correspondence to Yoshiko Ariji.

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Ariji, Y., Gotoh, M., Naitoh, M. et al. Magnetic resonance imaging assessment of tumorous lesions in the floor of the mouth: case reports and review of the literature. Oral Radiol 22, 18–26 (2006). https://doi.org/10.1007/s11282-006-0040-0

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  • DOI: https://doi.org/10.1007/s11282-006-0040-0

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