MUCOCELE ASSOCIATED TO SIALOLITHIASIS: AN UNCOMMON PRESENTATION

Abstract

Mucoceles are common injuries in the oral medicine clinic, occurring mainly in young individuals, and rarely present with atypical development. Sialolithiasis in minor salivary gland are fairly uncommon, with few cases reported in the literature. A 73-year-old male patient with leukoderma presented with complaint of "small ball on the cheek" for 4 years, with episodes of remission and exacerbation. The intra oral examination showed a nodular lesion, sessile, with approximately 2 cm, with slightly fibrosis consistency, smooth surface, coloring slightly erythematous, and sensitive to touch. With DD mucocele, the excisional biopsy was performed. The anatomopathological examination showed a cystic cavity containing mucus, coated with mixed inflammatory process, and adjacent salivary gland with ductal ectasia and presence of intra-ductal calcification. The patient progressed uneventfully in the immediate and late postoperative time. Reasons of presentation: Patient’s age (73 years), time of evolution for 4 years, and the association with intraductal sialolithiasis. Mucoceles are common injuries in the oral medicine clinic, occurring mainly in young individuals, and rarely present with atypical development. Sialolithiasis in minor salivary gland are fairly uncommon, with few cases reported in the literature. A 73-year-old male patient with leukoderma presented with complaint of "small ball on the cheek" for 4 years, with episodes of remission and exacerbation. The intra oral examination showed a nodular lesion, sessile, with approximately 2 cm, with slightly fibrosis consistency, smooth surface, coloring slightly erythematous, and sensitive to touch. With DD mucocele, the excisional biopsy was performed. The anatomopathological examination showed a cystic cavity containing mucus, coated with mixed inflammatory process, and adjacent salivary gland with ductal ectasia and presence of intra-ductal calcification. The patient progressed uneventfully in the immediate and late postoperative time. Reasons of presentation: Patient’s age (73 years), time of evolution for 4 years, and the association with intraductal sialolithiasis.