Premium
High Grade Dysplasia of an Enteric Duplication Cyst of the Anterior Tongue
Author(s) -
DeKlotz Timothy R,
DeKlotz Cynthia MC,
Davidson Bruce
Publication year - 2011
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.21936
Subject(s) - citation , library science , medicine , computer science
Objectives: To examine the rare diagnosis of an enteric duplication cyst of the oral tongue as well as the challenging clinical management of dysplasia in this setting. Study Design: Case Presentation Methods: The chart, imaging, and pathologic findings of the above case presentation were retrospectively reviewed and compared with that reported in the literature. Results: A 54-year-old male presented with significant swelling of his anterior tongue and tongue base with symptoms of dysphagia, dysphonia, and low-grade fevers. Imaging demonstrated a large cystic lesion of the tongue measuring 3.3 x 3.8 cm. Fine needle aspiration of the lesion revealed mucoid contents, but was otherwise non-diagnostic. Marsupialization and biopsy of the cyst wall revealed intestinal-type glandular epithelium with areas of high-grade dysplasia. Symptoms immediately resolved after decompression of cyst. Conclusion: Enteric duplication cysts are rare in adults but should be considered when evaluating cystic lesions of the upper aerodigestive tract. The large size of this lesion and the dysplasia complicate its management. High Grade Dysplasia of an Enteric Duplication Cyst of the Anterior Tongue