Sandbox:DDx HEENT: Difference between revisions

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* 50 yo women
Children and young adults
* Involves minor salivary glands
* Well circumscribed painless nodule in the palate, buccal mucosa, or floor of the mouth


Recurrent fluctuating mass
* Cystic cavities lined by cuboidal epithelial cells
Bluish translucent color
* Intraluminal projections
Located at the inner surface of the lower lip or floor of the mouth
* Serous, mucinous, or papillary histology
1 mm to 3 cm


 
Granulation tissue surrounding mucin
* Benign cystic lesion
No epithelial lining
* Hypodense, small, rounded mass
Neutrophils and foamy histiocytes may be present
* Locate in the mouth floor
 
 
* Tubular, cribriform, and solid growth pattern
* Uniform serous cells with pleomorphic nuclei and  basophilic granular cytoplasms
* Increased mitotic activity and foci of necrosis
* Lymphoid stroma with inflammatory infiltrate
 
* c-KIT mutation

Revision as of 14:55, 2 November 2015

Children and young adults

Recurrent fluctuating mass Bluish translucent color Located at the inner surface of the lower lip or floor of the mouth 1 mm to 3 cm

Granulation tissue surrounding mucin No epithelial lining Neutrophils and foamy histiocytes may be present