Multifocal intraoral ductal ectasia with metaplasia and focal epithelial proliferation: a case report

Authors

  • Shigehiro Abe Department of Dentistry and Oral Surgery, Tokyo Metropolitan Hiroo Hospital, Japan
  • Naoko Yokomizo Department of Dentistry and Oral Surgery, Tokyo Metropolitan Hiroo Hospital, Japan
  • Masatake Asano Department of Pathology, Nihon University School of Dentistry, Japan
  • Takashi Mishimagi Department of Dentistry and Oral Surgery, Tokyo Metropolitan Hiroo Hospital, Japan
  • Katsuya Hyodo Department of Dentistry and Oral Surgery, Tokyo Metropolitan Hiroo Hospital, Japan
  • Yutaka Kobayashi Department of Dentistry and Oral Surgery, Tokyo Metropolitan Hiroo Hospital, Japan
  • admin

DOI:

https://doi.org/10.47391/JPMA.5453

Abstract

Ductal ectasia with metaplasia and focal epithelial proliferation in the oral cavity does not correspond to any existing salivary gland lesion. A 72-year-old man presented with a mass in the buccal mucosa, which was excised and initially diagnosed as a cystadenoma. An upper lip mass on the right side, which developed later, was also excised. The lesions were histologically similar, and since they were multifocal and in non-contiguous and independent sites with multiple dilated cystic structures that did not destroy the lobar architecture, the final diagnosis was confirmed as ductal ectasia with metaplasia and focal epithelial proliferation. This condition may mimic various neoplastic lesions.

Keywords: Salivary ducts, salivary gland disease, salivary gland neoplasm, mucocele, metaplasia.

Published

2022-12-15

Issue

Section

Case Report