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Year : 2016  |  Volume : 7  |  Issue : 2  |  Page : 137-138  

SkIndia Quiz 23: A swelling on the tongue

Department of Oral Medicine and Radiology, St. Joseph Dental College and Hospital, Eluru, Andhra Pradesh, India

Date of Web Publication4-Mar-2016

Correspondence Address:
Dr. S Sudhakar
Department of Oral Medicine and Radiology, St. Joseph Dental College and Hospital, Eluru, Andhra Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2229-5178.174341

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How to cite this article:
Sudhakar S, Rocky J, Ramaswamy P, Smitha B, Kiran CS. SkIndia Quiz 23: A swelling on the tongue . Indian Dermatol Online J 2016;7:137-8

How to cite this URL:
Sudhakar S, Rocky J, Ramaswamy P, Smitha B, Kiran CS. SkIndia Quiz 23: A swelling on the tongue . Indian Dermatol Online J [serial online] 2016 [cited 2020 Apr 6];7:137-8. Available from: http://www.idoj.in/text.asp?2016/7/2/137/174341

A 40-year-old male patient reported with a complaint of swelling over the tongue of two months duration. The patient had first noticed the swelling four months ago which was initially the size of a grape seed and had gradually increased to attain the present size. There was pain over the swelling for the past one month that was insidious in onset, and aggravated by speech and mastication. There was no history of trauma to the tongue, paresthesia or loss of taste sensation. The medical and family histories were unremarkable. The general physical and systemic examinations were normal.

Clinical examination showed the presence of dome shaped swelling of 0.5 cm in diameter on the right dorsal surface of the tongue. The ventral surface showed similar swelling which appeared to be extending from the dorsal surface [Figure 1]. The swelling was non-tender, compressible and soft in consistency. Bimanual palpation revealed that the swellings on the dorsal and ventral surfaces were inter-connected. Transillumination revealed the cystic nature of the swelling. Diascopy did not show any blanching. Under local anesthesia, the swelling was completely excised and sent for histopathological examination. The histopathological features from hematoxylin and eosin stained tissue section are shown in [Figure 2] and [Figure 3].
Figure 1: Swelling involving the dorsal and ventral surface of the tongue

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Figure 2: Multicystic spaces of varied size with several delicate papillary fronds projecting into the cystic lumen filled with proteinaceous material (H and E, ×10), insert showing cystic spaces with papillae abutting from the minor salivary gland

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Figure 3: Epithelial lining consisting of bland columnar cells with focal areas of thick 2-3 layered cells and thin vascular cores (H and E, ×20)

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   What Is the Diagnosis Top

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   References Top

Chaudhry AP, Gorlin RJ, Mitchell DF. Papillary cystadenoma of minor salivary gland origin. Report of a case. Oral Surg Oral Med Oral Pathol 1960;13:452-4.  Back to cited text no. 1
Bardick I. Histogenesis and morphogenesis of salivary gland. In: Ellis GL, Auclair PL, Gnepp DR, editors. Surgical Pathology of the Salivary Glands. 2nd ed., Ch. 7. Philadelphia: WB Saunders; 1991. p. 108-28.  Back to cited text no. 2
Santos JN, Barros AC, Sarmento VA, Gurgel CA, de Souza VF. Cystadenoma: a rare tumor originated in minor salivary gland. J Bras Patol Med Lab 2008;44:205-8.  Back to cited text no. 3
Guccion JG, Redman RS, Calhoun NR, Saini N. Papillary cystadenoma of the palate: A case report and ultrastructural study. J Oral Maxillofac Surg 1997;55:759-64.  Back to cited text no. 4
Mahler V, Schell H. Papillary cystadenoma: A rare tumor of the minor salivary glands. Eur J Dermatol 1999;9:387-9.  Back to cited text no. 5
Sher L. The papillary cystadenoma of salivary gland origin. Diastema 1982;10:37-41.  Back to cited text no. 6
Foss RD, Ellis GL, Auclair PL. Salivary gland cystadenocarcinomas. A clinicopathologic study of 57 cases. Am J Surg Pathol 1996; 20:1440-7.  Back to cited text no. 7
Sivapathasundaram B, Einstein TB. Physical and chemical injuries of the oral cavity. In: Rajendran R, Sivapathasundaram B, editors. Shafer's Text Book of Oral Pathology. 5th ed., Ch. 12. New Delhi: Elsevier; 2006. p. 747-9.  Back to cited text no. 8


  [Figure 1], [Figure 2], [Figure 3]


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