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Oral and Maxillofacial Surgery

, Volume 23, Issue 4, pp 493–497 | Cite as

Intraoral epidermoid cyst with extensive elastofibromatous changes: an unusual finding

  • Heitor Albergoni Silveira
  • Luciana Yamamoto Almeida
  • Matheus Henrique Lopes Dominguete
  • Kamila Prado Pereira Graciano
  • Andreia Bufalino
  • Jorge Esquiche LeónEmail author
Case Report
  • 117 Downloads

Abstract

Introduction

Epidermoid cysts (ECs) are rare and occur in the head and neck regions with an incidence from 1.6 to 7% of all cysts. In the oral cavity, approximately 80 ECs have been reported, representing less than 0.01% of all cysts.

Case report

We report a case of a 26-year-old man who developed a large EC in the midline floor of the mouth causing nodular swelling in the submental region and speech and swallowing difficulties. The lesion was surgically excised by intraoral approach and microscopically revealed an EC associated with extensive elastofibromatous changes in the cystic capsule.

Conclusion

Oral EC with extensive elastofibromatous changes is a finding extremely rare. The meaning of this finding is unknown, but a traumatic origin or deposit disorder of elastic fibers is suggested. To the best of our knowledge, intraoral EC with elastofibromatous changes has not been reported to date.

Keywords

Epidermoid cyst Oral cyst Floor of the mouth Elastic tissue Elastofibromatous changes 

Notes

Funding

Jorge Esquiche León (2016/11419–0), Luciana Yamamoto Almeida (2016/02713-2) and Heitor Albergoni Silveira (2018/12734–2) have received research grants from the State of São Paulo Research Foundation.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

References

  1. 1.
    Al-Khateeb TH, Al-Masri NM, Al-Zoubi F (2009) Cutaneous cysts of the head and neck. J Oral Maxillofac Surg 67:52–57CrossRefGoogle Scholar
  2. 2.
    Rajayogeswaran V, Eveson JW (1989) Epidermoid cyst of the buccal mucosa. Oral Surg Oral Med Oral Pathol 67:181–184CrossRefGoogle Scholar
  3. 3.
    Lewis KG, Bercovitch L, Dill SW, Robinson-Bostom L (2004) Acquired disorders of elastic tissue: part I. Increased elastic tissue and solar elastotic syndromes. J Am Acad Dermatol 51(1):1–21 quis 22-4CrossRefGoogle Scholar
  4. 4.
    Tosios KI, Economou I, Vasilopoulos NN, Koutlas IG (2010) Elastofibromatous changes and hyperelastosis of the oral mucosa. Head Neck Pathol 4:31–36CrossRefGoogle Scholar
  5. 5.
    Darling MR, Kutalowski M, MacPherson DG, Jackson-Boeters L, Wysocki GP (2011) Oral elastofibromatous lesions: a review and case series. Head Neck Pathol. 5:254–258CrossRefGoogle Scholar
  6. 6.
    Manchandu R, Foote J, Alawi F (2008) Elastofibroma presenting as an oral soft tissue mass. J Oral Pathol Med 37:125–126CrossRefGoogle Scholar
  7. 7.
    Nonaka CF, Rêgo DM, Miguel MC, de Souza LB, Pinto LP (2010) Elastofibromatous change of the oral mucosa: case report and literature review. J Cutan Pathol 37:1067–1071CrossRefGoogle Scholar
  8. 8.
    David R, Buchner A (1980) Elastosis in benign and malignant salivary gland tumors. A histochemical and ultrastructural study. Cancer 45:2301–2310CrossRefGoogle Scholar
  9. 9.
    Azañero WD, Mazzonetto R, León JE, Vargas PA, Lopes MA, de Almeida OP (2009) Lingual cyst with respiratory epithelium: a histopathological and immunohistochemical analysis of two cases. Int J Oral Maxillofac Surg 38:388–392CrossRefGoogle Scholar
  10. 10.
    Potter TJ, Summerlin DJ, Rodgers SF (2004) Elastofibroma: the initial report in the oral mucosa. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 97:64–67CrossRefGoogle Scholar
  11. 11.
    Daley T, Darling M (2011) Elastofibroma oralis. Head Neck Pathol. 5:259–260CrossRefGoogle Scholar
  12. 12.
    Williams HK, Hammond L (2000) Multiple residual cysts containing deposits of AL-amyloid. Histopathology. 37:567–569CrossRefGoogle Scholar
  13. 13.
    Hobbs CM, Burch DM, Sobin LH (2004) Elastosis and elastofibromatous change in the gastrointestinal tract: a clinicopathologic study of 13 cases and a review of the literature. Am J Clin Pathol 122:232–237CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Heitor Albergoni Silveira
    • 1
  • Luciana Yamamoto Almeida
    • 2
  • Matheus Henrique Lopes Dominguete
    • 3
  • Kamila Prado Pereira Graciano
    • 3
  • Andreia Bufalino
    • 1
  • Jorge Esquiche León
    • 4
    Email author
  1. 1.Oral Medicine, Department of Diagnosis and Surgery, Araraquara Dental SchoolSão Paulo State University (UNESP)AraraquaraBrazil
  2. 2.Department of Pathology and Forensic Medicine, Ribeirão Preto Medical School (FMRP/USP)University of São PauloSão PauloBrazil
  3. 3.Universidade Vale do Rio Verde (UninCor)Três CoraçõesBrazil
  4. 4.Oral Pathology, Department of Stomatology, Public Oral Health and Forensic Dentistry, Ribeirão Preto Dental SchoolUniversity of São Paulo (FORP/USP)Ribeirão PretoBrazil

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