J Korean Assoc Oral Maxillofac Surg.  2022 Feb;48(1):59-62. 10.5125/jkaoms.2022.48.1.59.

Intraductal papilloma of the sublingual gland imitating a ranula

• Tatsis D
• Kechagias N
• Tsekos A
• Petrakis G
• Vahtsevanos K

• KMID: 2526811
• DOI: http://doi.org/10.5125/jkaoms.2022.48.1.59

Abstract

Ductal papillomas are rare benign lesions of the salivary glands with two distinctive types, intraductal and inverted. The rarest anatomical location where intraductal papillomas occur is the major salivary glands. In the present study, we report an intraductal papilloma of the left sublingual gland with the relevant clinical, imaging, and histopathological findings and postoperative follow-up. To our knowledge, this is the fourth case of an intraductal papilloma of a sublingual gland to be reported in the international literature. We present this rare case because of its clinical and radiological imitation of a ranula.

Keyword

Intraductal papilloma; Sublingual gland

Figure

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  Fig. 1 Preoperative photograph of the lesion.

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  Fig. 2 Preoperative magnetic resonance imaging, T2-weighted image. A. Axial plane. B. Coronal plane. C. Sagittal plane.

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  Fig. 3 Postoperative magnetic resonance imaging. A. Axial plane. B. Coronal plane.

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  Fig. 4 Intraoperative photograph during the resection of the lesion.

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  Fig. 5 Histopathological findings. A. Panoramic view of the intraductal papilloma arranged in tubular and papillary formations with thin fibrovascular cores (H&E staining, ×40). B. The neoplastic cells are of medium size, cylindrical, with eosinophilic cytoplasm and ovoid nuclei, and without atypia or mitotic activity (H&E staining, ×200). C. There was no infiltration of the neoplastic cells in the ductal wall (H&E staining, ×200).

Reference

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