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Mucocele: A diagnostic dilemma!!
Maruthamuthu Karthikeyan1, Alex K Varghese2, Govindarajan Vasupradha2
1Department of Oral and Maxillofacial Surgery, Adhiparasakthi Dental College and Hospital, Melmaruvathur, Tamil Nadu, India.
Journal of Pharmacy & Bioallied Sciences
|November 11, 2016
Summary
Oral mucoceles, common minor salivary gland lesions from duct trauma, can present atypically. This case highlights the importance of histopathology for accurate diagnosis and management of these benign oral lesions.
Area of Science:
- Oral Pathology
- Dermatology
- Salivary Gland Disorders
Background:
- Oral mucoceles are common benign lesions of minor salivary glands, typically resulting from mechanical trauma to salivary ducts.
- They are classified into mucous extravasation phenomenon and mucous retention types, with extravasation being more frequent.
Observation:
- A case report of a 65-year-old male with a painful lower lip swelling, initially diagnosed as traumatic fibroma after a history of lip trauma.
- Excisional biopsy revealed mucous extravasation phenomenon with reactive changes, suggesting impaired healing due to chronic irritation.
Findings:
- Histopathology confirmed mucous extravasation phenomenon coexisting with reactive features, underscoring the complexity of seemingly simple oral lesions.
- The findings indicate a potential role for chronic irritation in the pathogenesis and altered healing of oral mucoceles.
Implications:
- Accurate clinicopathologic correlation is crucial for diagnosing and managing oral mucoceles, differentiating them from other oral swellings.
- Prompt intervention, appropriate treatment, and diligent postoperative follow-up are essential for benign oral lesions to prevent complications or malignant transformation.
