Oral cysticercosis in a vegetarian female: A diagnostic dilemma
A 37‑year‑old vegetarian female reported with the chief complaint of a swelling on the ventral surface of the tongue since 1 year, which had gradually increased to the present size measuring approximately 1 cm × 1 cm in diameter. The overlying mucosa was intact and slightly pale in appearance. A clinical differential diagnosis of fibroma, mucocele, ranula and leiomyoma was made. Occlusal radiograph showed a small radiopacity of around 0.3 cm in diameter. On clinicoradiographic correlation, a differential diagnosis of calcinosis circumscripta and sialolithiasis was made. Excisional biopsy was preformed, and on gross examination, the specimen was roughly oval in shape, creamy white in color, soft to cystic in consistency and measured approximately 1 cm × 0.5 cm in diameter.
Authors: Kunal Sah, Neeraj Grover, Sunira Chandra, Sonia Gulia