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Lingual dermoid cyst with congenital discharging sinus: a rare entity

  • Z Sun (a1), L Sun (a2), Y Gao (a3) and X Ma (a1)

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.

Copyright

Corresponding author

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: kqxcma@bjmu.edu.cn

References

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1Dimtsas, S, Theologie-Lygidakis, N, Iatrou, I. Intralingual dermoid cyst in an infant presenting swallowing and sleeping difficulties. J Clin Pediatr Dent 2010;34:335–7
2Shaari, CM, Ho, BT, Shah, K, Biller, HF. Lingual dermoid cyst. Otolaryngol Head Neck Surg 1995;112:476–8
3Miles, LP, Naidoo, LC, Reddy, J. Congenital dermoid cyst of the tongue. J Laryngol Otol 1997;111:1179–82
4Islam, S, Hoffman, GR. Parotid dermoid cyst: a rare entity. J Laryngol Otol 2009;123:e7
5Meyer, I. Dermoid cysts (dermoids) of the floor of the mouth. Oral Surg Oral Med Oral Pathol 1955;8:1149–64
6Raewyn, C, Paul, W. Management of congenital lingual dermoid cysts. Int J Pediatr Otorhinolaryngol 2010;74:567–71
7Giunta, JL, Friedman, AL, Karp, R. Dermoid cyst of the tongue with sinus tract. Oral Surg Oral Med Oral Pathol 1982;53:450–3
8Korchin, L. Dermoid cyst with lingual sinus tract. Report of a case. Oral Surg Oral Med Oral Pathol 1974;37:175–8
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;720
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;86:502–5
11Dattilo, DJ, Ige, JT, Nwana, EJ. Intraoral lipoma of the tongue and submandibular space: report of a case. J Oral Maxillofac Surg 1996;54:915–17
12Chung, JC, Ng, RW. A huge tongue lipoma. Otolaryngol Head Neck Surg 2007;137:830–1
13Nielsen, GP, Mandahl, N. Lipoma. Lyon: IARC, 2002
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;12:175–80
15Kang, MG, Kim, KJ, Seok, JI, Lee, DK. Intracranial dermoid cyst rupture with midbrain and thalamic infarction. Neurology 2009;72:769
16Kormanik, KE, Bersu, ET, Bentz, ML. Dermoid sinus and cyst of the lip. J Craniofac Surg 2006;17:162–6
17Cambiaghi, S, Micheli, S, Talamonti, G, Maffeis, L. Nasal dermoid sinus cyst. Pediatr Dermatol 2007;24:646–50
18Baarsma, EA. The median nasal sinus and dermoid cyst. Arch Otorhinolaryngol 1980;226:107–13
19Morimoto, K, Takemoto, O, Nishikawa, M, Umegaki, M, Nishino, A. Nasal dermal sinus with a dermoid cyst. Pediatr Neurosurg 2002;36:218–19
20Tien, AM, Tien, DR. Orbital dermoid cyst presenting with a discharging sinus tract. J Pediatr Ophthalmol Strabismus 2009:e1–2
21Shen, WC, Chiou, TL, Lin, TY. Dermal sinus with dermoid cyst in the upper cervical spine: case note. Neuroradiology 2000;42:51–3
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;17:491–3
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;58:266–70
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;42:387–90
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;78:567–76

Keywords

Lingual dermoid cyst with congenital discharging sinus: a rare entity

  • Z Sun (a1), L Sun (a2), Y Gao (a3) and X Ma (a1)

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