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Case Reports
. 2016 Sep 7;10(1):246.
doi: 10.1186/s13256-016-1024-2.

Bilateral nasolabial cysts: a case report

Affiliations
Case Reports

Bilateral nasolabial cysts: a case report

Masaru Sato et al. J Med Case Rep. .

Abstract

Background: Nasoalveolar cysts are rare non-odontogenic cysts that occur beneath the nasal alar region. Few cases of bilateral nasoalveolar cysts have been described.

Case presentation: We report a rare case of a 67-year-old Japanese woman with bilateral nasoalveolar cysts who presented to our department with the chief complaint of a swollen left nasal alar base. Panoramic radiography revealed no abnormalities. Computed tomography and magnetic resonance imaging revealed a well-circumscribed oval lesion at both alar bases. Therefore, bilateral nasoalveolar cysts were clinically diagnosed. Furthermore, these cysts were extirpated under general anesthesia; the aforementioned diagnosis was histopathologically confirmed. No recurrence has been observed 1 year after surgery.

Conclusions: Nasoalveolar cysts are rare. It is necessary to be careful because nasoalveolar cysts can show bilateral occurrence.

Keywords: Bilateral lesions; Nasoalveolar cysts; Non-odontogenic cysts.

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Figures

Fig. 1
Fig. 1
Extra oral findings of the patient at the first visit. A diffuse swelling without tenderness was found at her left nasal alar base (arrows)
Fig. 2
Fig. 2
Panoramic radiograph obtained at the first examination. Only apical periodontitis of the left upper central incisor was observed
Fig. 3
Fig. 3
Computed tomography image obtained at the first examination. A well-circumscribed oval lesion, approximately 19 × 14 × 12 mm in size, was found inferior to the left nasal alar base. A small high-density area was observed adjacent to the right piriform aperture
Fig. 4
Fig. 4
Magnetic resonance images obtained just before surgery. a. T1-weighted image. Oval lesions with high internal signal intensity inferior to the bilateral alar base. b. T2-weighted short inversion time inversion recovery image showing low signal intensity
Fig. 5
Fig. 5
Hematoxylin and eosin-stained sections of the surgical specimen. a. Right-sided lesion. b. Left-sided lesion. The cysts were lined with thin, non-keratinized squamous epithelium containing a number of goblet cells. The cyst walls comprised fibrous connective tissue with seromucous glands

References

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