An Unusual Presentation of Oral Mucocele in Infant and Its Review

Table 1

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

Lesion	Age	Sex	Site	Clinical appearance	Consistency	Progression
Fibroma	Common in 3rd, 4th, and 5th; decade	M : F = 1 : 2	Common on labial mucosa	Elevated, smooth surfaced, sessile, or pedunculated nodule of normal pink color. Usually small to rarely several cm in size	Firm	Slowly growing
Lipoma	Usually in; 4th decade	M : F = 1 : 1	Less common; on lower lip	Smooth surfaced, yellowish, sessile or pedunculated, asymptomatic, nodular mass. Usually less than 3 cm in size	Soft and freely; movable	Slowly growing
Hemangioma	Infancy	M : F = 1 : 3	Lip is a common; site	Flat or raised, deep red or bluish red, and seldom well circumscribed	Readily; compressible, blanch and filling slowly when; released	Rapidly growing for initial 6–10; months and then slowing in growth and involute
Varix	Older adults		Lip is a common; site	Asymptomatic, nontender, bluish-purple nodule	Firm
Traumatic neuroma	Middle aged adults	Slightly 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 cyst	Adults		Lip is a common; site	Smooth surfaced, bluish; swelling	Soft and fluctuant	Slowly growing
Epidermoid cyst	3rd and 4th; decade	M : F = 2 : 1	Lip is a fairly common site	Painless, round, flesh colored to yellowish-white nodule present midline	Firm and mobile	Slowly 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 nevi	Usually in; younger; patients	Predominant in women	Labial mucosa; is a fairly; common site	Asymptomatic, round or oval, raised or slightly raised, and sessile growth of normal or blue-black color	Soft to firm	Slowly growing
Granular cell tumor	4th to 6th; decade of life	M : F = 1 : 2	Lip is a less; common site	Asymptomatic, sessile, pink or yellowish nodular mass	Firm and immovable
Lymphangioma	Usually; present at; birth	M : F = 1 : 1	Lip is a less; common site	Asymptomatic tumor mass of pink or purple color with pebbled surface	Soft
Pyogenic granuloma	Mostly 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 swelling	Soft	May exhibit rapid growth