| Autor: |
Varlas VN; Department of Obstetrics and Gynecology, Filantropia Clinical Hospital, 011132 Bucharest, Romania.; Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, 010221 Bucharest, Romania., Parlatescu I; Department of Oral Pathology, Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, 17-21, Calea Plevnei Street, 020021 Bucharest, Romania., Epistatu D; Department of Radiology, Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, 17-21, Calea Plevnei Street, 020021 Bucharest, Romania., Neagu O; Department of Anatomopathology, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania., Varlas RG; Department of Obstetrics and Gynecology, Filantropia Clinical Hospital, 011132 Bucharest, Romania., Bălănescu L; Department of Pediatric Surgery, Children Emergency Hospital 'Grigore Alexandrescu', 011743 Bucharest, Romania.; Faculty of General Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania. |
| Abstrakt: |
Fetal lingual tumors are very rare, and their early prenatal diagnosis is important for defining the subsequent therapeutic strategy. In this study, we aimed to describe a case of a congenital septate lingual cyst and perform an extensive literature review on two main databases (PubMed, Web of Science), analyzing the clinical manifestations, the imaging appearance, the differential diagnosis, and particularities regarding the treatment of these tumors. The electronic search revealed 17 articles with 18 cases of mixed heterotopic gastrointestinal/respiratory oral epithelial cysts that met the eligibility criteria and were included in this review. The clinical case was diagnosed prenatally during second-trimester screening. On the eighth day of life, the fetus underwent an MRI of the head, which revealed an expansive cystic process on the ventral side of the tongue with the greatest diameter of 21.7 mm, containing a septum of 1 mm inside. On the 13th day of life, surgery was performed under general anesthesia, and the lingual cystic formation was completely excised. The postoperative evolution was favorable. The histopathological examination revealed a heterotopic gastric/respiratory-mixed epithelial cyst with non-keratinized respiratory, gastric squamous, and foveolar epithelium. The lingual cyst diagnosed prenatally is an accidental discovery, the differential diagnosis of which can include several pathologies with different degrees of severity but with a generally good prognosis. |
