Spontan düzelen konjenital oral lenfoepitelyal kist: Olgu sunumu

Oral lenfoepitelyal kist, ağız zemini başta olmak üzere oral boşluğu etkileyen nadir bir benign kistik lezyondur. Çocukluktan geriatriye kadar geniş bir yaş aralığına sahip hastaları etkilediği bildirilmiştir. Konservatif cerrahi eksizyon ile mükemmel prognozla tedavi edilir. İki aylık bir bebek ağız zemininde doğuştan asemptomatik beyaz kubbe şeklinde bir şişlik ile başvurdu. Lezyonun hiçbir müdahale olmadan kendiliğinden gerilediği bildirildi. Bilgimize göre bu olgu, bildirilen ilk spontan gerileyen konjenital oral lenfoepitelyal kist olgusudur. Müdahaleye gerek kalmadan kendiliğinden düzelme olabileceği için bebek ve çocuk vakalarının takibini öneririz.

Self-resolving congenital form of oral lymphoepithelial cyst: case report

Oral lymphoepithelial cyst is a rare benign cystic lesion affecting the oral cavity; mainly the floor of the mouth. It was reported to affect patients with a wide age range extending from childhood to geriatrics. It is treated by conservative surgical excision with excellent prognosis. A case of 2-month old infant presented with a congenital asymptomatic white dome-shaped swelling in the floor of the mouth. The lesion was reported to resolve spontaneously with no intervention. To the best of our knowledge, this is the first report of a congenital oral lymphoepithelial cyst. We recommend the follow up of the cases of infants and children as resolution may occur spontaneously with no need for intervention.

___

  • YangX, Ow A, Zhang CP, et al. Clinical analysis of 120 cases of intraoral lymphoepithelial cyst. Oral Surg Oral Med Oral Pathol Oral Radiol 2012;113:448-52.
  • Mcdonnell D. Spontaneous regression of a yellow sublingual swelling : a case report. Pediatr Dent 1972;12:388-9.
  • Flaitz C. Oral lymphoepithelial cyst in a young child. Pediatr Dent 2000;22:422-3.
  • Bhaskar SN. Lymphoepithelial cysts of the oral cavity. Oral Surg Oral Med Oral Pathol 1966;21:120-8.
  • Gold C, Levittown N. Branchial cleft cyst located in the floor of the mouth. Oral Surg Oral Med Oral Pathol 1962;15:1118-20.
  • Knapp MJ. Pathology of oral tonsils. Oral Surg Oral Med Oral Pathol 1970;29:295-7.
  • Chaudhry AP, Yamane G, Scharlock E, SunderRaj M, Jain R. A clinicopathological study of intraoral lymphoepithelial cysts. J Oral Med 1984;39:79-84.
  • Castro JGL, Ferreira GM, Mendonca EF, de Castro LA. A rare occurrence of lymphoepithelial cyst in the palatine tonsil: a case report and discussion of the etiopathogenesis. Int J Clin Exp Pathol 2015;8:4264-8.
  • Kim MG, Lee NH, Ban JH, Lee KC, Jin SM, Lee H. Sclerotherapy of branchial cleft cysts using OK-432. Otolaryngol Head Neck Surg 2009;141:329-34.
  • Acevedo A, Nelson JF. Lymphoepithelial cysts of the oral cavity: report of nine cases. Oral Surg 1971;31:632-6.