There is a fleshy lump in my mouth, what's going on?

A lump grows in the mouth, which is quite common in life. There are many causes of it, such as oral ulcers. Because oral ulcers recur frequently, this kind of chronic inflammatory stimulation can easily cause such a phenomenon. In addition, you should also pay attention to whether it is a mucous gland cyst. If it grows on the lips or tongue, it may be this type. This disease is mainly caused by blockage of the salivary gland duct.

Symptoms

1. Mucous gland cysts occur under the oral mucosa. They are small (usually the size of soybeans), have clear edges, are transparent bubble-like, and are painless. There is often a history of injury (local bites are the most common). After the ulcer ruptures, a sticky white liquid flows out and the swelling disappears temporarily, but the ulcer heals quickly and the swelling reappears.

2. Large salivary gland cysts (sublingual gland, submandibular gland and parotid gland) are swellings at the site of the disease, which may have obstruction symptoms (i.e. the swelling worsens when eating and gradually eases after eating). The salivary duct opening cannot squeeze out secretions, or discolored and smelly liquids are discharged. Puncture can extract a sticky white liquid.

Clinical diagnosis

1. There are recurrent attacks, with small transparent vesicular masses under the oral mucosa, and the contents of the vesicles are viscous egg white-like fluid; there is a history of local bites. Flowing out after rupture

diagnosis

diagnosis

History of clear, colorless mucus. People who have the disease for the first time may not have this medical history.

2. It is common on the lower lip, tongue tip, sublingual area and buccal mucosa. It appears as a soft, light blue mass with clear boundaries and a movable base. Sometimes the protruding surface appears like a fish bubble, and its diameter is generally around 0.5-1 cm.

3. Major salivary gland cyst: The disease site is located in the corresponding major salivary gland area of ​​the oral and maxillofacial region, and is manifested by swelling and obstruction symptoms in this area, and abnormal secretory function of the duct opening. Puncture of sublingual gland cyst extracts egg white-like viscous fluid; puncture of submandibular gland and parotid gland cyst extracts thinner fluid; the amylase test of the extracted fluid is positive.

4. Confirmed by pathological diagnosis.

Treatment

1. Cystectomy is suitable for patients with no adhesion between cyst and mucosa.

2. Cystectomy is suitable for patients with multiple recurrences or local scars, and those with adhesions of cysts to the mucosa.

3. For those who do not want to undergo surgery, after draining out the cyst fluid, 0.2-0.5 ml of 2% iodine tincture can be injected into the cyst cavity, leaving it for 2-3 minutes before draining out the iodine tincture.

Mucous cyst removal surgery

Mucous cyst removal surgery

Tumor fibrosis.