PMC6710953_01
Intraoral photograph showing round swelling in right side of dorsum surface of tongue (A) extending up to the ventral surface (B)
ijcpd-12-80-g001.jpg
PMC6710953_01_ijcpd-12-80-g001.jpg
F1
Intraoral examination revealed a well-circumscribed, round, firm, non-tender, cystic swelling of about 2.5 x 2.5 cm in size, with a smooth surface (Fig. 1). Swelling was embedded in the right side of the dorsum surface of the anterior tongue involving the lateral border and extending up to the ventral surface (Figs 1 and 2).
Intraoral photograph showing round swelling measuring 2.5 x 2.5 cm in size extending up to lateral surface of tongue
ijcpd-12-80-g002.jpg
PMC6710953_01_ijcpd-12-80-g002.jpg
F2
Swelling was embedded in the right side of the dorsum surface of the anterior tongue involving the lateral border and extending up to the ventral surface (Figs 1 and 2).
Intraoral periapical radiograph showing the lesion did not reveal any calcifications
ijcpd-12-80-g003.jpg
PMC6710953_01_ijcpd-12-80-g003.jpg
F3
No calcification was detected on an intraoral periapical radiograph (Fig. 3).
Ultrasonography of the lesion revealed a thin walled anechoic cystic lesion measuring 13 x 10 x 9 mm in the submucosal plane
ijcpd-12-80-g004.jpg
PMC6710953_01_ijcpd-12-80-g004.jpg
F4
The lesion did not show internal vascularity; however, there was a mural nodule measuring 5.6 x 3.1 mm which demonstrates faint vascularity (Fig. 4).
Excised specimen of size 3 x 3 cm
ijcpd-12-80-g005.jpg
PMC6710953_01_ijcpd-12-80-g005.jpg
F5
Complete surgical excision of the cyst was done and the mass was sent for histopathological examination (Fig. 5).
Photomicrograph of the lesion showing keratinizing squamous epithelium with distinct granular layer (H and E stain; magnification x40)
ijcpd-12-80-g006.jpg
PMC6710953_01_ijcpd-12-80-g006.jpg
F6
Histopathology confirmed the diagnosis of an epidermoid cyst by the presence of the stratified squamous epithelial tissue covering the cyst cavity, with laminas of parakeratin on the surface (Fig. 6).