PMC7263107_01
(A) Intraoral photograph presenting the cystic lesion affecting the lingual dorsum. (B) Sagittal view of the magnetic resonance displayed in a hyperintense image. (C) Coronal view of the magnetic resonance showing the cyst. (D) Aspiration of the cyst presenting a white liquid with a dense texture.
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Hospital in Medellin, Colombia, presenting a soft mass in the midline groove of the tongue (Figure 1A), which had existed since her birth, causing difficulty in eating, breathing, and talking. Her mother reported that the mass had grown slowly until a year ago. The magnetic resonance described a hyperintense image with an anteroposterior diameter of 27 mm, craniocaudal of 19 mm, and transversal of 26 mm in the midline dorsum of the tongue (Figure 1B and C). Previously to the incision on the dorsum of the tongue, the lesion was aspirated, obtaining a white liquid with a dense texture of approximately 10 mL (Figure 1D).
(A) Excision of the lesion. (B) The cut surface of the cyst. (C) Cyst lined uniformly by ciliated columnar epithelium (hematoxylin and eosin). (D) Magnification illustrating the ciliated, columnar type epithelium (hematoxylin and eosin).
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The excision of the lesion was performed, eradicating the capsule of the cyst, conserving the contiguous muscle tissue, and obtaining a complete cleavage (Figure 2A and B). No dermal appendages were appreciated in the connective tissue (Figure 2C and D).
(A) Suture on the dorsum of the tongue. (B) Postoperative after 4 days.
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Figure 3A presents the suture on the dorsum of the tongue, and Figure 3B shows the postoperative after 4 days.