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A Case Report of a Lingual Cyst Lined by Respiratory Epithelium in a Child

Carlos-Martín Ardila1,2, Efraín Álvarez-Martínez2

  • 1Biomedical Stomatology Research Group, Universidad de Antioquia, Medellín, Colombia.

Clinical Medicine Insights. Case Reports
|June 13, 2020
PubMed

Insights

A rare lingual cyst lined by respiratory epithelium, likely from embryonic foregut development, was successfully managed in a young girl. This case highlights the importance of differentiating this rare tongue cyst from other similar pathologies.

Area of Science:

  • Embryology
  • Pathology
  • Otolaryngology

Background:

  • Lingual cysts lined by respiratory epithelium are rare congenital anomalies.
  • They likely arise from aberrant embryonic development of foregut tissues.
  • This condition is more common in males and children, with few cases reported in those under four years old.

Observation:

  • A 4-year-old girl presented with a congenital, soft dorsal tongue mass causing feeding, breathing, and speech difficulties.
  • Magnetic resonance imaging revealed a large midline tongue cyst.
  • Histopathological examination confirmed a cyst lined by respiratory epithelium.

Findings:

  • Surgical enucleation of the lingual cyst was performed, completely removing the lesion and its capsule.
  • Histopathology confirmed the cyst lining as predominantly respiratory epithelium, with detailed analysis of cystic and capsular components.
  • The case provides a detailed description of the pathophysiology and successful management of this rare lingual cyst.

Implications:

  • This case underscores the need for accurate differentiation of lingual cysts with respiratory epithelium from other cystic lesions of the tongue.
  • Understanding the embryological origin and histological features is crucial for diagnosis and management.
  • Effective surgical management, including complete capsule removal, is key to successful treatment and preventing recurrence.

Keywords:
Cystsepitheliumrespiratoryrespiratory epitheliumtongue diseases

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