All of these lesions can present as a fluctuant mass involving the lower lip. This lesion is most commonly observed in children or young adults and presents as a dome-shaped mucosal swelling. It can develop in any anatomic location but is most commonly observed in the mental foramen area, tongue, and lower lip. It can be seen in any age group, but is usually found in middle-aged adults. This lesion presents as a nodular, soft, fluctuant, yellow or white mass.
Males tend to be affected more frequently than females.
The most common location for this lesion is the head and neck which accounts for almost one third of all cases. A predilection for females is also observed for this soft, fluctuant vascular lesion. The clinical presentation is as a crusted, non tender, indurated ulceration that is characterized by a slow growth rate. Although adenoid cystic carcinoma can occur in any salivary gland, the majority arise within the minor salivary glands with the palate being the most common location. The lesion typically presents as a slow growing mass that is painful.