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pilomatrixoma

A Case of a Large Sublingual Dermoid Removed Successfully Using a Sublingual Approach

Teaser: 

Dr. Pradeep Shenoy, MD, FRCS, FACS, DLO,1
Dr. Farah Tabassum, MD, FRCPC, FABP2

1ENT & Neck Surgeon, Campbellton Regional Hospital, Campbellton, New Brunswick, Canada.
2Pathologist, Campbellton Regional Hospital, Campbellton, New Brunswick, Canada.

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Abstract:Sublingual dermoid cysts are rare lesions in the oral cavity. Common oral lesions include: ranula; benign mucosal swelling; and sublingual salivary gland tumours. Uncommon types of lesions include: thyroglossal cysts, pilomatrixomas,12 pilomatrix carcinomas, and arteriovenous malformations.
The etiology, diagnostic problems, radiological findings, various treatment approaches, and histopathological findings are described in the following case study, which includes a literature review.
Key Words: epidermoid cyst, submental swelling, sublingual swelling, sialo adenitis, thyroglossal cyst, pilomatrixoma.
Sublingual dermoid cysts are asymptomatic unless they are big causing pressure symptoms causing sialoadnitis, difficulty in swallowing, choking or pain while moving the tongue.
Good examination and CT scan of the neck helps to plan for the surgery.
Once removed completely the recurrence is very rare.
Dermoid cyst in the oral cavity are rare entity depending on the histological picutres that are classified into dermoid, epidermoid, and teratomas.
Complete excision through intra oral and external approach is done, depending on its site in relation with geniohyoid muscles.
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Related Terms: Otolaryngology, epidermoid cyst, submental swelling, sublingual swelling, sialo adenitis, thyroglossal cyst, pilomatrixoma

A Rare Case of Pilomatrixoma in a Seventy-Six Year Old Lady

A Rare Case of Pilomatrixoma in a Seventy-Six Year Old Lady

Members of the College of Family Physicians of Canada may claim one non-certified credit per hour for this non-certified educational program.

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Teaser: 

P.K. Shenoy, MD, DLO, FRCS, FACS1, W. Wang, MD2
1ENT Service Chief, Campbellton Regional Hospital, New Brunswick, Campbellton, Canada.
2Pathology Service Chief, Campbellton Regional Hospital, New Brunswick, Campbellton, Canada.

Abstract
Objectives: We report a rare case of Pilomatrixoma with an unusual presentation in an elderly individual.
Method: Case reports and review of the literature of Pilomatrixoma and its clinical presentation, familial ocuurence and genetic mutation are presented.
Result: Pilomatrixoma is a rare, slow growing benign skin tumour derived from the hair matrix cell that typically occurs in the head and neck.8,9 Most cases of Pilomatrixoma occur in children under the age of 10. Rarely can it present in young adults or the middle age group where there is a female predominance.1,2,12
Keywords: pilomatrixoma, calcifying epithelioma of Malherbe, haemorrhagic purplish nodule, solid and cystic, pleuropotential precursor, mutation, basophilic cells, shadow cells, CTNNB1.

Related Terms: Cancer, mutation, pilomatrixoma, calcifying epithelioma of Malherbe, haemorrhagic purplish nodule, solid and cystic, pleuropotential precursor, basophilic cells, shadow cells, CTNNB1