EURORAD ESR

Case 14445

Sublingual dermoid: Rare case report

Author(s)
Dr Shailesh Rohit DMRD, DNB, Dr Anjali Singh MD path, Dr Neha Patel MS

SRL Diagnostic,
Sardar Patel Hospital and Heart Institute,
Radiology;
Chikuwadi, Opp. Railway Godown
393001 Ankleshwar, India;
Email:drshailesh2305@gmail.com
 
Patient
female, 2 year(s)
 
 
  • Figure 1
    Swelling in submental region

    Swelling in submental region.

     
    Area of Interest: Head and neck; Imaging Technique: Fluoroscopy; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 2
    Ultrasound of the neck

    Ultrasound of the neck shows a well-defined 3.3 x 1.6 cm lesion containing echogenic globules.

     
    Area of Interest: Head and neck; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 3
    MRI of the neck
     

    T1 axial image of the floor of mouth shows a well-defined hypointense lesion containing round/ oval hyperintense globules creating a 'sac of marbles' appearance.

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Sagittal T1 fat-saturated sequence shows suppression of the hyperintense signal intensity globules within the lesion seen on T1 sequence confirming their fatty nature.

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 4
    MRI of the neck
     

    T2 axial image shows a well-defined hyperintense lesion in sublingual region splitting the genioglossus muscles of the tongue.

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;

    T2 STIR sagittal image confirms the cystic nature of the tumour.

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 5
    Histopathology

    Magnification view of a H & E- stained section shows orthokeratinised stratified squamous epithelium lining the cyst along with sebaceous glands in the underlying connective tissue.

     
    Area of Interest: Head and neck; Imaging Technique: Percutaneous; Procedure: Education; Special Focus: Tissue characterisation;
     
     
Swelling in submental region.
 
Ultrasound of the neck shows a well-defined 3.3 x 1.6 cm lesion containing echogenic globules.
 
T1 axial image of the floor of mouth shows a well-defined hypointense lesion containing round/ oval hyperintense globules creating a 'sac of marbles' appearance.
 
Sagittal T1 fat-saturated sequence shows suppression of the hyperintense signal intensity globules within the lesion seen on T1 sequence confirming their fatty nature.
 
T2 axial image shows a well-defined hyperintense lesion in sublingual region splitting the genioglossus muscles of the tongue.
 
T2 STIR sagittal image confirms the cystic nature of the tumour.
 
Magnification view of a H & E- stained section shows orthokeratinised stratified squamous epithelium lining the cyst along with sebaceous glands in the underlying connective tissue.
 
 
 
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