Case Reports in Dentistry / 2014 / Article / Tab 1

Case Report

An Unusual Presentation of Oral Mucocele in Infant and Its Review

Table 1

Differential diagnosis of mucocele occurring on most common site, lower lip.

LesionAgeSexSiteClinical appearanceConsistencyProgression

FibromaCommon in 3rd, 4th, and 5th
decade
M : F = 1 : 2Common on labial mucosaElevated, smooth surfaced, sessile, or pedunculated nodule of normal pink color. Usually small to rarely several cm in sizeFirmSlowly growing

LipomaUsually in
4th decade
M : F = 1 : 1Less common
on lower lip
Smooth surfaced, yellowish, sessile or pedunculated, asymptomatic, nodular mass. Usually less than 3 cm in sizeSoft and freely
movable
Slowly growing

HemangiomaInfancyM : F = 1 : 3Lip is a common
site
Flat or raised, deep red or bluish red, and seldom well circumscribedReadily
compressible, blanch and filling slowly when
released
Rapidly growing for initial 6–10
months and then slowing in growth and involute

VarixOlder adultsLip is a common
site
Asymptomatic, nontender, bluish-purple noduleFirm

Traumatic neuromaMiddle aged adultsSlightly more
common in
females
Lower lip is a
common site
Smooth surfaced, nonulcerated nodule of normal
color with history of trauma. Usually less than 1 cm
Digital pressure may cause considerable
pain
Slowly growing

Salivary duct cystAdultsLip is a common
site
Smooth surfaced, bluish
swelling
Soft and fluctuantSlowly growing

Epidermoid cyst3rd and 4th
decade
M : F = 2 : 1Lip is a fairly common sitePainless, round, flesh colored to yellowish-white nodule present midlineFirm and mobileSlowly growing

Mucoepidermoid
carcinoma
2nd to 7th
decade
Slight female
predilection
Lower lip is a
common site
Low grade tumor appears as a painless mass seldom
exceeding 5 cms in diameter. High grade tumor produces pain, numbness, and ulceration. Minor salivary gland tumors have blue or red color
Low grade is usually soft and fluctuant, while high grade
tumor is firm
Low grade tumor slowly enlarging,
while high grade
tumor rapidly
enlarging

Amelanotic or blue neviUsually in
younger
patients
Predominant in womenLabial mucosa
is a fairly
common site
Asymptomatic, round or oval, raised or slightly raised, and sessile growth of normal or blue-black colorSoft to firmSlowly growing

Granular cell tumor4th to 6th
decade of life
M : F = 1 : 2Lip is a less
common site
Asymptomatic, sessile, pink or yellowish nodular massFirm and immovable

LymphangiomaUsually
present at
birth
M : F = 1 : 1Lip is a less
common site
Asymptomatic tumor mass of pink or purple color with pebbled surfaceSoft

Pyogenic granulomaMostly in
children
and young
adults
Female
predilection
Lip is a fairly
common site
Smooth, pedunculated or sessile, pink to red to purple colored, few mms to several cm in size, and painless swellingSoftMay exhibit rapid growth

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