Dermoscopy of oral mucocele: three types of extravasation mucoceles
Dermoscopy of oral mucocele: three types of extravasation mucoceles
Background/aim: Dermoscopy is a diagnostic tool that assists in imaging the epidermis and dermis. Although it has also started to beused to diagnose nonmelanocytic lesions recently, it has not been tested much on oral mucosal masses, such as oral mucoceles. Thisstudy aimed to investigate whether dermoscopy is a valuable tool in diagnosing oral mucoceles.Materials and methods: In this study, the clinical and dermoscopic features of 21 oral mucocele lesions of 21 patients (11 females, 10males) aged between 6 and 38 years who were confirmed histopathologically were evaluated.Results: Of the lesions studied, 95.2% (20) were extravasation and 4.8% (1) were retention mucoceles. The nonvascular structureswere determined as white areas (61.9%, 13), erythema (57.1%, 12), purplish-gray background (52.3%, 11), ulcer (30%, 8), yellowishorangeareas (23.8%, 5), crust (14.2%, 3), starburst pattern (0.95%, 2), and bleeding (0.47%, 1). Dermoscopically, 40% of extravasationmucoceles were classified as type 1 (8 patients), 25% as type 2 (5 patients), and 35% as type 3 (7 patients).Conclusion: We concluded that there are 3 types of extravasation mucoceles dermoscopically and clinically, and these types may bestages of transition between each other.
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- 1. Tandon A, Sircar K, Chowdhry A, Bablani D. Salivary duct cyst
on lower lip: A rare entity and literature review. Journal of Oral
and Maxillofacial Pathology 2014; 18: 151-156.
- 2. Santosh HN, Nagaraj T, Bose A, Sasidharan A. Atypical clinical
presentation of oral mucocele. International Journal of Medical
and Dental Case Reports 2014: 1-3.
- 3. Rao PK, Hegde D, Shetty SR, Chatra L, Shenai P. Oral
mucocele–diagnosis and management. Journal of Dentistry,
Medicine and Medical Sciences 2012; 2: 26-30.
- 4. Ata-Ali J, Carrillo C, Bonet C, Balaguer J, Peñarrocha M et al.
Oral mucocele: review of literature. Journal of Clinical and
Experimental Dentistry 2010; 2: 18-21.
- 5. Nallasivam KU, Sudha BR. Oral mucocele: review of literature
and a case report. Journal of Pharmacy and Bioallied Sciences
2015; 7: 731-733.
- 6. Bermejo A, Aguirre JM, Lopez P, Saez M. Superficial mucocele.
Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology
and Endodontology 1999; 88 (4): 469-472.
- 7. Laskaris G. Color Atlas of Oral Diseases in Children and
Adolescents. New York, NY, USA: Thieme Medical Publishers
Inc.; 2000.
- 8. Adachi P, Pires-Soubhia AM, Horikawa FK, Shinohara
EH. Mucocele of the glands of Blandin–Nuhn. Clinical,
pathological, and therapeutical aspects. Oral and Maxillofacial
Surgery 2011; 15: 11-13.
- 9. Ayhan E, Ucmak D, Baykara SN, Akkurt ZM, Arica M. Clinical
and dermoscopic evaluation of cutaneous leishmaniasis.
International Journal of Dermatology 2015; 54: 193-201.
- 10. Kaminska-Winciorek G, Calik J, Wydmanski J, Schwartz RA,
Czajkowski R. Primary melanoma in rare locations: clinical
and dermatoscopic features. Indian Journal of Dermatology,
Venereology, and Leprology 2004; 80: 369-371.
- 11. Salah E. Clinical and dermoscopic spectrum of discoid lupus
erythematosus: novel observations from lips and oral mucosa.
International Journal of Dermatology 2018; 57: 830-836.
- 12. Chaitanya P, Praveen D, Reddy M. Mucocele on Lower Lip:
A Case Series. Indian Dermatology Online Journal 2017; 8:
205-207.
- 13. Neville B, Damn DD, Allen CM, Bouquot JJ. Oral and
Maxillofacial Pathology. 2nd ed. Philadelphia, PA, USA: W. B.
Saunders; 2002. pp. 389-392.
- 14. Baurmash HD. Mucoceles and ranulas. Journal of Oral and
Maxillofacial Surgery 2003; 61: 369-378.
- 15. Nico MM, Park JH, Lourenco SV. Mucocele in pediatric
patients: analysis of 36 children. Pediatric Dermatology 2008;
25: 308-311.
- 16. Chi AC, Lambert PR 3rd, Richardson MS, Neville BW. Oral
mucoceles: a clinicopathologic review of 1,824 cases, including
unusual variants. Journal of Oral and Maxillofacial Surgery
2011; 69 (4): 1086-1093.
- 17. Andiran N, Sarikayalar F, Unal OF, Baydar DE, Ozaydin
E. Mucocele of the anterior lingual salivary glands: from
extravasation to an alarming mass with a benign course.
International Journal of Pediatric Otorhinolaryngology 2001;
61: 143-147.
- 18. Karthikeyan M, Varghese AK, Vasupradha G, Dinakaran
J. Mucocele: a diagnostic dilemma. Journal Pharmacy and
Bioallied Sciences 2016; 8: 168-170.
- 19. Santosh ABR, Boyd D, Laxminarayana KK. Proposed clinicopathological
classification for oral exophytic lesions. Journal of
Clinical and Diagnostic Research 2015; 9: 1-8.
- 20. Wood NK, Goaz PW. Differential Diagnosis of Oral And
Maxillofacial Lesions. 5th ed. St. Louis, MO, USA: Mosby;
1997.
- 21. Zain RB, Ikeda N, Razak IA, Axéll T, Majid ZA et al. A national
epidemiological survey of oral mucosal lesions in Malaysia.
Community Dentistry and Oral Epidemiology 1997; 25: 377-
383.
- 22. M. Glick. Burket’s Oral Medicine. 12th ed. People’s Medical
Publishing House; , 2015. pp. 147-172, 175-188, 236-237.
- 23. Mortazavi H, Safi Y, Baharvand M, Rahmani, S. Peripheral
exophytic oral lesions: a clinical decision tree. International
Journal of Dentistry. 2017: 9193831.