Maidaa Ayham, Sammoun Ayman, Al-Din Muna, Ali Doaa, Aladwan Khaledah, Shikh Alkassabin Amira, Alsadi Mohammad Obada, Abdulkader Mohammd
Children's University Hospital, Damascus, Syrian Arab Republic.
Faculty of Medicine, Damascus University, Damascus, Syrian Arab Republic.
Ann Med Surg (Lond). 2025 Apr 10;87(6):3866-3869. doi: 10.1097/MS9.0000000000003239. eCollection 2025 Jun.
benign cystic growths called epidermoid cysts (ECs) are derived from the germ-native epithelium. They are typically asymptomatic. It is challenging to diagnose these cystic lesions in this region. In one instance, recurrence occurred even following total surgical excision. A precise diagnosis and separation from dermoid are crucial for the best outcome.
A six-month-old boy complained of swelling that was getting bigger and was entrenched in his tongue's anterior region. An intraoral examination found a smooth-surfaced, painful cyst that was well-circumscribed. A benign epithelial squamous cyst was discovered following the aspirated fluid's referral to the pathological anatomy division. It was decided to perform surgery. The recommended treatment plan was successful.
While ECs are commonly located on the face, head, neck, chest, and upper back, instances involving the head and neck region are only 7%, with even fewer affecting the oral cavity, particularly the floor of the mouth.
With minimal risk of malignancy and recurrence, successful treatment involves complete surgical excision. Accurate diagnosis and differentiation from dermoid cysts are essential for optimal treatment outcomes.
表皮样囊肿（ECs）是一种良性囊性肿物，起源于原始上皮组织。它们通常无症状。诊断该区域的这些囊性病变具有挑战性。有一例，即使在手术全切后仍出现复发。精确诊断并与皮样囊肿区分开来对于获得最佳治疗效果至关重要。
一名6个月大的男童主诉舌前部肿胀且逐渐增大。口腔检查发现一个表面光滑、有压痛、边界清晰的囊肿。吸出液送检病理解剖科后发现为良性上皮性鳞状囊肿。决定进行手术。推荐的治疗方案取得成功。
虽然表皮样囊肿通常位于面部、头部、颈部、胸部和上背部，但累及头颈部区域的病例仅占7%，累及口腔尤其是口底的病例更少。
恶性和复发风险极小，成功的治疗包括完整的手术切除。准确诊断并与皮样囊肿鉴别对于获得最佳治疗效果至关重要。
