Acta Stomatologica Croatica (Jan 2014)

Epidermoid Cyst Arising in the Buccal Mucosa: Case Report and Literature

  • Fábio Wildson Gurgel Costa,
  • Francisco Samuel Rodrigues Carvalho,
  • Filipe Nobre Chaves,
  • Stephanie de Almeida,
  • Ana Paula Negreiros Nunes Alves,
  • Régia Maria do Socorro Vidal Patrocínio,
  • Fabrício Bitu Sousa,
  • Karuza Maria Alves Pereira

DOI
https://doi.org/10.15644/asc48/4/8
Journal volume & issue
Vol. 48, no. 4
pp. 296 – 304

Abstract

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Epidermoid cysts are benign subcutaneous lesions, and the large majority of these cysts affect the floor of the mouth; however, the buccal mucosa is not the usual site of occurrence. To date, only 5 articles have been published with 6 cases of epidermoid cysts arising in the buccal mucosa. Therefore, the aim of this study was to describe the clinical, histopathological and immunohistochemical features of a case of an epidermoid cyst located in the buccal mucosa. To our knowledge, this is the first report of an oral epidermoid cyst describing an intense foreign body gigantocellular inflammatory reaction against epithelial keratin component. Although the usual diagnosis for epidermoid cysts is based on histopathological findings, this case report addresses novel information regarding the immunohistochemical pattern which may be found in these lesions.

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