case_images: PMC6701427_01
case_images: PMC6701427_02
case_images: Clinical aspect of the mass located in the right sublingual region (tip of the tongue turned to the left side). The superior limit is above the occlusal surface of the molars.
case_images: CRID2019-2138928.001.jpg
case_images: PMC6701427_02_CRID2019-2138928.001.jpg
case_images: fig1
case_images: Physical examination revealed a tender mass, in the right sublingual region, though its posterior limit could not be clearly defined (Figure 1).
case_images: RMI features of the lesion: both T1- (a) and T2- (b) weighed images show hypersignal.
case_images: CRID2019-2138928.002.jpg
case_images: PMC6701427_02_CRID2019-2138928.002.jpg
case_images: fig2
case_images: T1 and T2 hypersignals (Figure 2); the conclusion was that the sublingual mass could be a ranula. The patient was proposed an excision, and the procedure was performed under local anesthesia.
case_images: Resection specimen: 37 x 32 mm encapsulated yellow mass.
case_images: CRID2019-2138928.003.jpg
case_images: PMC6701427_02_CRID2019-2138928.003.jpg
case_images: fig3
case_images: Histology showing mature adipocytes, uniform spindle cells, and short bundles of collagen in a myxoid matrix (HE staining, x20).
case_images: CRID2019-2138928.004.jpg
case_images: PMC6701427_02_CRID2019-2138928.004.jpg
case_images: fig4
case_images: Immunohistochemical anti-PS100 staining (x20): adipocytes are PS100 positive.
case_images: CRID2019-2138928.005.jpg
case_images: PMC6701427_02_CRID2019-2138928.005.jpg
case_images: fig5
case_images: Spindle cells were immunoreactive for CD34 and negative for PS100 (Figures 5 and 6).
case_images: Immunohistochemical anti-CD34 staining (x20): adipocytes are CD34 negative and spindle cells are CD34 positive.
case_images: CRID2019-2138928.006.jpg
case_images: PMC6701427_02_CRID2019-2138928.006.jpg
case_images: fig6
case_images: Spindle cells were immunoreactive for CD34 and negative for PS100 (Figures 5 and 6).