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Epidermoid cyst arising in the submandibular region
Masanori Kudoh1, Hiroyuki Harada, Ken Omura
1Division of Oral and Maxillofacial Surgery, Ebina General Hospital, 1320 Kawaraguchi, Ebina, Kanagawa 243-0433, Japan ; Oral and Maxillofacial Surgery, Department of Oral Restitution, Division of Oral Health Sciences, Graduate School, Tokyo Medical and Dental University, Ebina 243-0433, Japan.
Case Reports in Medicine
|November 6, 2013
Summary
This case report details a rare epidermoid cyst found in the submandibular region of a 69-year-old male. Surgical removal was successful, with no recurrence observed after 28 months, highlighting a unique presentation of this common cyst type.
Area of Science:
- Oral and Maxillofacial Surgery
- Dermatology
- Pathology
Background:
- Dermoid and epidermoid cysts typically occur in the midline or sublingual floor of the mouth.
- Epidermoid cysts are benign cystic tumors that can arise from ectopic skin elements.
Purpose of the Study:
- To report a rare case of an epidermoid cyst located in the submandibular region.
- To describe the clinical presentation, diagnostic imaging, surgical management, and histopathological findings of this unusual case.
Main Methods:
- A 69-year-old male presented with a palpable mass in the right submandibular region.
- Magnetic Resonance Imaging (MRI) revealed a cystic lesion measuring 3.5 × 3.0 cm.
- Cystectomy was performed under general anesthesia, preserving the submandibular gland.
Main Results:
- Histopathological examination confirmed the cyst was lined by stratified squamous epithelium without skin appendages, consistent with an epidermoid cyst.
- The cyst was mobile, elastic, and soft, with normal overlying skin.
- The patient experienced an uneventful postoperative recovery.
Conclusions:
- Epidermoid cysts, though rare, can occur in the submandibular region.
- Surgical excision is an effective treatment, with preservation of adjacent structures like the submandibular gland being feasible.
- Long-term follow-up demonstrated no recurrence, supporting the efficacy of surgical management.
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