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Cheilitis glandularis: an unusual histopathologic presentation
Eric T Stoopler1, Lee Carrasco, David C Stanton
1Department of Oral Medicine, University of Pennsylvania School of Dental Medicine, Philadelphia 19104-6030, USA.
Summary
Cheilitis glandularis (CG) is a rare lip condition. This case highlights unusual histopathologic findings in CG simplex, including papillary hyperplasia, mimicking a neoplastic process.
Area of Science:
- Oral pathology
- Dermatology
- Salivary gland diseases
Background:
- Cheilitis glandularis (CG) is an uncommon lip disorder.
- It typically presents with lip enlargement and ductal dilatation.
- Histopathologic classification includes simple, superficial, and deep types.
Observation:
- This report details an unusual case of CG simplex.
- Initial diagnosis suggested papillary cystadenoma, a neoplastic condition.
- The lesion was fully excised for comprehensive microscopic examination.
Findings:
- Final review revealed chronic sclerosing sialadenitis.
- Dilated salivary ducts showed oncocytic change and inflammation.
- Foci of adenomatous hyperplasia with papillary architecture were noted.
Implications:
- The papillary proliferative pattern is atypical for CG.
- This case underscores the importance of thorough histopathologic review.
- Accurate diagnosis is crucial for appropriate management of lip lesions.