Prenatal Diagnosis Of Lingual Cyst And Spontaneous Regression Before Birth: A Rare Case Report And Literature Review
Zhang, Y., Ouyang, Y., Meng, H., Wu, X., & Niu, Z. (2019). Prenatal diagnosis of lingual cyst and spontaneous regression before birth: A rare case report and literature review. Medicine, 98(46), e17873. https://doi.org/10.1097/MD.0000000000017873
View Original Source →Abstract
RATIONALE: We report a case of fetal lingual cyst that was diagnosed prenatally using 2-dimensional and 3-dimensional images during routine second trimester screening. To the best of our knowledge, this is the first description of a cystic lesion disappearing before birth. PATIENT CONCERNS: A 36-year-old woman at 22 weeks' gestation showed the presence of an oral cystic lesion in routine second trimester ultrasound screening. The lesion measured 18 × 15 × 15 mm. INTERVENTIONS: A follow-up ultrasound examination was performed every 4 to 6 weeks. OUTCOMES: The cyst disappeared in a follow-up ultrasound examination at 35 and 37 weeks of gestation. A male newborn who weighed 3480 g was delivered with no feeding difficulties. The boy was followed to 6 years after birth. The child had normal growth and development, and there was no recurrence of the cyst. LESSONS: Prenatally diagnosed lingual cysts are uncommon findings that can include many different pathologies with a wide spectrum of severity. Lingual cysts usually have a good prognosis.
Case Details
Disease Location
Mouth
Personal Characteristics
36-year-old woman, g2p1
Clinical Characteristics
Presented at 22 weeks’ gestation for routine second-trimester screening. An ultrasound examination showed the presence of an oral cystic lesion, which measured 18x15x15mm. The lesion was posterior to the mandible and attached to the inferior aspect of the tongue in the fetus. The lesion appeared to be moving in conjunction with the tongue.
Remission Characteristics
The cyst eventually disappeared in follow-up examinations at 35 and 37 weeks of gestation.
Treatment & Mechanisms
Non-Clinical Treatment
None reported