BACKGROUND Heterotopic gastrointestinal cysts have gastrointestinal epithelium in the cyst wall and rarely occur in the oral cavity.Most are found in the neonatal period.However,heterotopic gastrointestinal cysts that...BACKGROUND Heterotopic gastrointestinal cysts have gastrointestinal epithelium in the cyst wall and rarely occur in the oral cavity.Most are found in the neonatal period.However,heterotopic gastrointestinal cysts that are diagnosed as a congenital tongue cyst by routine ultrasonography are extremely rare.CASE SUMMARY A 12-day-old female presented with swelling of the anterior tongue.The obstetrician had detected significant tongue swelling on fetal ultrasonography in the 35 th gestational week.The female was born by cesarean delivery at gestational week 39.She soon became dyspneic,and the cyst was aspirated.After the aspiration,her breathing recovered and she started breastfeeding.The cyst was excised under general anesthesia on the 67 th day.Histopathologic examination showed that that cyst wall consisted of a lining of columnar gastrointestinal-type epithelium and pseudostratified ciliated epithelium.The patient restarted breastfeeding 3 h after surgery.The postoperative course was uneventful.CONCLUSION Airway distress and feeding difficulty were successfully avoided by cyst aspiration,and surgical resection was performed with no perioperative complications.展开更多
BACKGROUND Salivary duct carcinoma(SDC)is a rare,extremely aggressive malignancy that arises in the submandibular gland.It can metastasize locally early and therefore is an important differential diagnosis of metastat...BACKGROUND Salivary duct carcinoma(SDC)is a rare,extremely aggressive malignancy that arises in the submandibular gland.It can metastasize locally early and therefore is an important differential diagnosis of metastatic disease in cervical lymph nodes or specific lymphadenitis such as tuberculous cervical lymphadenitis.CASE SUMMARY We report a case of SDC in the submandibular gland that presented diagnostic difficulty.The lesion was coincidentally discovered through examination of the radiolucent area of the maxilla.Imaging failed to confirm the possibility of specific inflammation,leading us to execute an open biopsy to verify the diagnosis.The surgical specimen showed that the submandibular gland was primarily replaced with a calcified body.Following histological analysis and confirmation,we performed surgical resection,radiotherapy,and various chemotherapies.CONCLUSION Radiographic imaging characteristics of lymph node metastases of salivary gland cancer,especially of SDC,may resemble other cervical lymphadenitis;calcification at the submandibular gland is the landmark of SDC occurring at the submandibular gland.展开更多
文摘BACKGROUND Heterotopic gastrointestinal cysts have gastrointestinal epithelium in the cyst wall and rarely occur in the oral cavity.Most are found in the neonatal period.However,heterotopic gastrointestinal cysts that are diagnosed as a congenital tongue cyst by routine ultrasonography are extremely rare.CASE SUMMARY A 12-day-old female presented with swelling of the anterior tongue.The obstetrician had detected significant tongue swelling on fetal ultrasonography in the 35 th gestational week.The female was born by cesarean delivery at gestational week 39.She soon became dyspneic,and the cyst was aspirated.After the aspiration,her breathing recovered and she started breastfeeding.The cyst was excised under general anesthesia on the 67 th day.Histopathologic examination showed that that cyst wall consisted of a lining of columnar gastrointestinal-type epithelium and pseudostratified ciliated epithelium.The patient restarted breastfeeding 3 h after surgery.The postoperative course was uneventful.CONCLUSION Airway distress and feeding difficulty were successfully avoided by cyst aspiration,and surgical resection was performed with no perioperative complications.
文摘BACKGROUND Salivary duct carcinoma(SDC)is a rare,extremely aggressive malignancy that arises in the submandibular gland.It can metastasize locally early and therefore is an important differential diagnosis of metastatic disease in cervical lymph nodes or specific lymphadenitis such as tuberculous cervical lymphadenitis.CASE SUMMARY We report a case of SDC in the submandibular gland that presented diagnostic difficulty.The lesion was coincidentally discovered through examination of the radiolucent area of the maxilla.Imaging failed to confirm the possibility of specific inflammation,leading us to execute an open biopsy to verify the diagnosis.The surgical specimen showed that the submandibular gland was primarily replaced with a calcified body.Following histological analysis and confirmation,we performed surgical resection,radiotherapy,and various chemotherapies.CONCLUSION Radiographic imaging characteristics of lymph node metastases of salivary gland cancer,especially of SDC,may resemble other cervical lymphadenitis;calcification at the submandibular gland is the landmark of SDC occurring at the submandibular gland.
