Oral mucoceles: a clinicopathologic review of 1,824 cases, including unusual variants.
OBJECTIVE
To review the clinicopathologic features of oral mucoceles, with special consideration given to unusual variants and exclusion of salivary duct cysts.


METHODS
This was a retrospective consecutive case review of all oral mucoceles diagnosed by the Medical University of South Carolina, Oral Pathology Biopsy Laboratory, from 1997 to 2006. The following data were recorded: patient demographics, clinical features (anatomic location, color, size, and consistency), clinical impression, history of trauma, history of periodic rupture, and occurrence of unusual mucocele variants.


RESULTS
During the study period, 1,824 oral mucoceles were diagnosed. Of these cases, 1,715 represented histopathologically confirmed cases that were not recurrences. There was no significant gender predilection, and the average age was 24.9 years. The most common locations were the lower labial mucosa (81.9%), floor of mouth (5.8%), ventral tongue (5.0%), and buccal mucosa (4.8%); infrequent sites included the palate (1.3%) and retromolar area (0.5%). The lesions most often were described as blue/purple/gray or normal in color. The mean maximum diameter was 0.8 cm (range, 0.1 to 4.0 cm). In 456 cases, a history of trauma was reported, and in 366 cases a history of periodic rupture was reported. Unusual variants included superficial mucoceles (n = 3), mucoceles with myxoglobulosis (n = 6), and mucoceles with papillary synovial metaplasialike change (n = 2).


CONCLUSIONS
Our results confirm the findings of previous investigators regarding the major clinicopathologic features of oral mucoceles. Special variants of oral mucoceles occur infrequently, although it is important to recognize these variants to avoid misdiagnosis.
Chi
Angela C
AC
Division of Oral Pathology, Department of Stomatology, College of Dental Medicine, Medical University of South Carolina, Charleston, SC 29425, USA. chi@musc.edu
Lambert
Paul R
PR
Richardson
Mary S
MS
Neville
Brad W
BW
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002610:Cheek / Q000473:pathology; D002648:Child; D002675:Child, Preschool; D003116:Color; D005260:Female; D006801:Humans; D006818:Hyalin; D007223:Infant; D008047:Lip Diseases / Q000453:epidemiology; D008297:Male; D008679:Metaplasia; D008875:Middle Aged; D009055:Mouth / Q000293:injuries; D009059:Mouth Diseases / Q000453:epidemiology*; D009060:Mouth Floor / Q000473:pathology; D009061:Mouth Mucosa / Q000473:pathology; D009078:Mucocele / Q000453:epidemiology*; D010159:Palate / Q000473:pathology; D012189:Retrospective Studies; D012421:Rupture; D012737:Sex Factors; D013022:South Carolina / Q000453:epidemiology; D014060:Tongue Diseases / Q000453:epidemiology; D055815:Young Adult