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[Sonographic features of a submandibular epidermoid cyst]
A Teymoortash1, C Külkens, J A Werner
1Klinik für Hals-, Nasen- und Ohrenheilkunde der Philipps-Universität Marburg. teymoort@mailer.uni-marburg.de
Ultraschall in Der Medizin (Stuttgart, Germany : 1980)
|August 27, 2003
Summary
A gradually enlarging neck mass in a young man was diagnosed as an epidermoid cyst. Characteristic sonography findings allowed for accurate preoperative diagnosis, avoiding further imaging tests.
Area of Science:
- Head and Neck Surgery
- Diagnostic Imaging
- Dermatopathology
Background:
- Epidermoid cysts are common benign neoplasms.
- Submandibular masses can present with varied etiologies.
- Accurate preoperative diagnosis is crucial for appropriate management.
Observation:
- A 23-year-old male presented with a gradually enlarging right submandibular mass.
- Physical examination revealed a well-defined, elastic swelling.
- Sonography demonstrated a sharply defined, solid, echorich mass with cystic areas.
Findings:
- Histological examination confirmed the mass as an epidermoid cyst.
- The cyst wall consisted of stratified squamous epithelium.
- The cystic lumen contained layered keratin.
Implications:
- Sonography is a valuable tool for diagnosing submandibular epidermoid cysts.
- Characteristic sonographic features can obviate the need for additional imaging.
- Early and accurate diagnosis facilitates timely surgical intervention.