Jamerson Carvalho Silva, Isabela Teixeira Fernandes, André Sampaio Souza, Flávia Caló de Aquino Xavier, Jean Nunes dos Santos
{"title":"Carcinoma mucoepidermoid arising as an intraoral swelling and osseous involvement: report of a case diagnosed as a cyst","authors":"Jamerson Carvalho Silva, Isabela Teixeira Fernandes, André Sampaio Souza, Flávia Caló de Aquino Xavier, Jean Nunes dos Santos","doi":"10.1016/j.oooo.2025.01.054","DOIUrl":null,"url":null,"abstract":"<div><div>A 56-year-old female presented with a 30 mm nodular lesion on the left side of the retromolar trigone. The lesion caused slight cortical displacement. The image scans demonstrated a well-defined radiolucent area with often corticated margins, preserving the mandibular canal. On CT images, the lesion eroded through the lingual cortical plate into the gingival soft tissues. The lesion was removed under general anesthesia, and the patient has been under observation for 7 months. Microscopically, solid and multicystic growth patterns were present, with mucous and epidermoid cells. Intermediate cells were also detected. The amount of cyst formation was higher than 80%, with a high proportion of mucous cells and a low rate of mitosis. Atypia was mild, but necrosis and vascular/perineural invasion were absent. Then, a diagnosis of low-grade mucoepidermoid carcinoma stage pT2, pNx was rendered. The patient is currently under periodic review and has no relapse.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"139 5","pages":"Page e10"},"PeriodicalIF":2.0000,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2212440325000574","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
A 56-year-old female presented with a 30 mm nodular lesion on the left side of the retromolar trigone. The lesion caused slight cortical displacement. The image scans demonstrated a well-defined radiolucent area with often corticated margins, preserving the mandibular canal. On CT images, the lesion eroded through the lingual cortical plate into the gingival soft tissues. The lesion was removed under general anesthesia, and the patient has been under observation for 7 months. Microscopically, solid and multicystic growth patterns were present, with mucous and epidermoid cells. Intermediate cells were also detected. The amount of cyst formation was higher than 80%, with a high proportion of mucous cells and a low rate of mitosis. Atypia was mild, but necrosis and vascular/perineural invasion were absent. Then, a diagnosis of low-grade mucoepidermoid carcinoma stage pT2, pNx was rendered. The patient is currently under periodic review and has no relapse.
期刊介绍:
Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology is required reading for anyone in the fields of oral surgery, oral medicine, oral pathology, oral radiology or advanced general practice dentistry. It is the only major dental journal that provides a practical and complete overview of the medical and surgical techniques of dental practice in four areas. Topics covered include such current issues as dental implants, treatment of HIV-infected patients, and evaluation and treatment of TMJ disorders. The official publication for nine societies, the Journal is recommended for initial purchase in the Brandon Hill study, Selected List of Books and Journals for the Small Medical Library.