Asymptomatic floor-of-mouth mass in a 79-year-old woman misinterpreted as a sublingual gland mucouse xtravasation cyst

Abstract

To the Editor: A 79-year-old woman presented to the Clinic of Stomatology, Federal University of Cear a (Sobral, Brazil) with referral to evaluate a firm intraoral growth previously interpreted as an oral ranula (sublingual gland mucous extravasation cyst). Initially during the anamnesis, the woman did not remember any dental or medical procedures that she believed to be related to the appearance of the lesion, and she denied smoking, alcohol abuse, any drug consumption, or a history of oral trauma. Intraoral examination detected a firm swelling on the left floor of the mouth of normal color. The mass had not been progressively increasing in size and was not affecting her ability to swallow, speak, chew, or breathe. X-ray showed no abnormalities, and no sialolith was evident. After the initial consultation, an excisional biopsy was performed under local anesthesia, and the surgical specimen was sent for histopathological analysis.