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Narasimhan G, Deshmuk PT, Gaurkar SS, Singh CV, Khan FQ. A Case Report of Neurofibroma of the Tongue Presented as a Solitary Lesion. Cureus 2024; 16:e65598. [PMID: 39205711 PMCID: PMC11357737 DOI: 10.7759/cureus.65598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2024] [Accepted: 07/28/2024] [Indexed: 09/04/2024] Open
Abstract
Neurofibroma are rare occurrences in the oral cavity with the tongue as the most common location in the oral cavity being affected by neurofibroma. Neurofibroma are usually asymptomatic, irregular tissue masses of benign nature with a small rate of malignant conversion. Recurrence rates are also low in the neurofibromas of the oral cavity. It is rare in India with only a few cases reported to date. Hence, we report this case of a 63-year-old female with a tissue mass present on the right side of her tongue for the last five years, with a progressive nature. The mass was associated with pain during chewing food for the last three months. She was managed by a wide local incision and was reported well recovering at a three-month follow-up.
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Affiliation(s)
- Gowtham Narasimhan
- Otolaryngology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Prasad T Deshmuk
- Otolaryngology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Sagar S Gaurkar
- Otolaryngology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Chandra Veer Singh
- Otolaryngology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Farhat Q Khan
- Otolaryngology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
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2
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Guo L, Wu C, Liang X, Han J. Solitary intraosseous neurofibroma of the oral cavity: rare localization in the maxilla. BMC Oral Health 2024; 24:719. [PMID: 38909194 PMCID: PMC11193187 DOI: 10.1186/s12903-024-04470-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2024] [Accepted: 06/10/2024] [Indexed: 06/24/2024] Open
Abstract
BACKGROUND Neurofibroma is a common benign tumor of neuronal origin that can occur as a solitary tumor or as a component of the generalized syndrome of neurofibromatosis. Neurofibromas are primarily located in the subcutaneous soft tissues and commonly involve extra-oral sites. Solitary intraosseous neurofibromas of the oral cavity are infrequent, with occurrences in the maxilla being exceedingly rare. CASE PRESENTATION A 22-year-old male patient presented with an asymptomatic mass in the maxilla. Cone-beam computed tomography revealed a round, well-outlined, radiolucent lesion with expansive growth. The neoplasm with the complete capsule was completely removed and confirmed as a neurofibroma based on histopathological and immunohistochemical findings. The reported cases of solitary intraosseous neurofibromas located in the maxilla published in the English literature were compiled to assist in the diagnosis of solitary intraosseous neurofibromas of the maxilla. Nine months after the surgery, there were no signs of tumor recurrence or malignant transformation. CONCLUSIONS This report emphasizes that rare locations of neurofibromas, such as solitary intraosseous neurofibromas in the maxilla, typically demonstrate nonspecific clinical and radiological features. Clinicians should consider solitary intraosseous neurofibromas as possible differential diagnoses and recognize the histopathological and immunohistochemical features to confirm the correct diagnosis. A longer follow-up period is required because of the potential for local recurrence and malignant transformation of these tumors.
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Affiliation(s)
- Longmei Guo
- Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou, 510280, China
| | - Chunling Wu
- Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou, 510280, China
| | - Xueyi Liang
- Department of Periodontics, Stomatological Hospital, Southern Medical University, 366 South of Jiangnan Road, Guangzhou, 510280, China.
| | - Jiusong Han
- Department of Oral and Maxillofacial Surgery, Stomatological Hospital, Southern Medical University, 366 South of Jiangnan Road, Guangzhou, 510280, China.
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3
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Chen JKJ. Beyond Excision: Cryotherapy as a Non-surgical Treatment for Palatal Solitary Neurofibroma. Cureus 2024; 16:e57699. [PMID: 38711700 PMCID: PMC11070888 DOI: 10.7759/cureus.57699] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/05/2024] [Indexed: 05/08/2024] Open
Abstract
Palatal solitary neurofibromas (SNFs), not linked to neurofibromatosis type 1, are uncommon. A 45-year-old female with a palatal SNF underwent non-surgical treatment using liquid nitrogen cryotherapy (LNC). The lesion, initially 9 x 8 x 3 mm, was treated with two 1-2 minute freeze-thaw cycles, progressively extended to two 2-2 minute freeze-thaw cycles to address the refractoriness. After four LNC sessions, the lesion resolved without recurrence at five months. This case demonstrates LNC's efficacy as a surgical alternative for palatal SNF, offering a non-invasive option for patients declining surgery. The positive outcome warrants further research into LNC's role in managing similar benign lesions.
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Affiliation(s)
- Jyh-Kwei J Chen
- Department of Dentistry, Division of Oral and Maxillofacial Surgery, Chang Gung Memorial Hospital, Taipei, TWN
- College of Medicine, Chang Gung University, Taoyuan, TWN
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4
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Zhang Y, Chen MWJ, Petersson F, Lim AAT. Solitary plexiform neurofibroma of the tongue: report of a case with no evidence of neurofibromatosis type 1. Int J Oral Maxillofac Surg 2023; 52:1246-1249. [PMID: 37080888 DOI: 10.1016/j.ijom.2023.03.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Revised: 03/08/2023] [Accepted: 03/23/2023] [Indexed: 04/22/2023]
Abstract
Neurofibromas are frequently present in the skin, but are uncommon in the oral and maxillofacial region. There are three histological variants of neurofibroma: localized, diffuse, and plexiform. The plexiform histological variant of neurofibroma is the least common and is a rare occurrence in the oral cavity. Furthermore, plexiform neurofibroma is usually pathognomonic of neurofibromatosis type 1. A case of solitary plexiform neurofibroma of the tongue with no evidence of neurofibromatosis in a 50-year-old female Chinese patient is reported here. The lesion presented as a single, large, well-circumscribed rounded mass in the left hemi-tongue. The tumour was completely excised. No recurrence was observed at the 6-month follow-up.
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Affiliation(s)
- Y Zhang
- Discipline of Oral and Maxillofacial Surgery, National University Centre for Oral Health Singapore, Singapore; Discipline of Oral and Maxillofacial Surgery, Faculty of Dentistry, National University of Singapore, Singapore
| | - M W J Chen
- Discipline of Oral and Maxillofacial Surgery, National University Centre for Oral Health Singapore, Singapore; Discipline of Oral and Maxillofacial Surgery, Faculty of Dentistry, National University of Singapore, Singapore
| | - F Petersson
- Department of Pathology, National University Hospital, Singapore
| | - A A T Lim
- Discipline of Oral and Maxillofacial Surgery, National University Centre for Oral Health Singapore, Singapore; Discipline of Oral and Maxillofacial Surgery, Faculty of Dentistry, National University of Singapore, Singapore.
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5
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Sharma AE, Kerr DA, Cipriani NA. Small biopsies in the head and neck: Bone and soft tissue. Semin Diagn Pathol 2023; 40:353-370. [PMID: 37453847 DOI: 10.1053/j.semdp.2023.06.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/04/2023] [Revised: 04/30/2023] [Accepted: 06/21/2023] [Indexed: 07/18/2023]
Abstract
Bone and soft tissue lesions in the head and neck encompass not only a broad morphologic spectrum but also significant inherent clinicopathologic overlap. Epidemiology, radiology, and location - similar to the diagnostic assessment in other sites - are especially important considerations in the context of an established mesenchymal proliferation. Herein, the approach towards diagnosis is stratified by morphology (spindle, sarcomatoid, epithelioid, round cell), cellular lineage (fibroblastic, nerve sheath, rhabdomyogenic), and tumor grade (benign, low- to high-grade malignant) as the basis of further immunohistochemical or molecular investigation.
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Affiliation(s)
- Aarti E Sharma
- Hospital for Special Surgery, New York, NY, United States
| | - Darcy A Kerr
- Dartmouth Hitchcock Medical Center, Lebanon, NH, United States
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Mokhtar EA, Singh M, Equbal S, Majeed A. Solitary Neurofibroma of the Maxillary Soft Tissue Causing Bone Destruction: A Rare Presentation. Cureus 2023; 15:e39423. [PMID: 37362470 PMCID: PMC10288392 DOI: 10.7759/cureus.39423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/23/2023] [Indexed: 06/28/2023] Open
Abstract
Neurofibroma is a benign tumor of the peripheral nerve. It usually presents as multiple tumors and as a part of von Recklinghausen's disease. However, rarely, it can occur in solitary form. The clinical diagnosis of solitary neurofibroma poses a challenge to clinicians as a plethora of benign and malignant lesions of the oral cavity have similar clinical presentations. We present a rare case of solitary neurofibroma of the maxillary soft tissue. A systemic clinical examination was performed to rule out neurofibromatosis. Computed tomography showed displaced teeth and bone destruction. Magnetic resonance imaging showed an ill-defined T2 hyperintense lesion involving the posterior aspect of the tooth-bearing alveolar process of the maxilla. The diagnosis of neurofibroma was confirmed by histological analysis and immunohistochemical studies. The tumor was successfully managed with excision. Three years of follow-up showed no recurrence. Solitary neurofibroma of the oral cavity is a very rare presentation. Neurofibroma in the maxilla with bone destruction is reported for the first time in the literature. This article will add to the current literature due to the atypical location and presentation of the tumor.
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Affiliation(s)
- Ejaz A Mokhtar
- Oral and Maxillofacial Surgery, All India Institute of Medical Sciences, Patna, Patna, IND
| | - Mandeep Singh
- Oral and Maxillofacial Surgery, Dr. B.R. Ambedkar Institute of Dental Sciences and Hospital, Patna, IND
| | - Sharique Equbal
- Oral and Maxillofacial Surgery, Buddha Institute of Dental Sciences, Patna, IND
| | - Aabid Majeed
- Dentistry, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND
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Kazu H, Yuzo S, Yoshiyuki H, Hiroaki K, Rika K, Kazuhiro M, Ken K, Tsuyoshi M, Hidekazu K, Tohru I, Masashi O, Sohsuke Y. A case of multiple solitary neurofibromas located in the hypopharynx and cervical esophagus. DEN OPEN 2023; 3:e160. [PMID: 36036020 PMCID: PMC9400133 DOI: 10.1002/deo2.160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Revised: 07/20/2022] [Accepted: 07/22/2022] [Indexed: 11/05/2022]
Abstract
A 50‐year‐old female was admitted to our hospital because of mild throat discomfort. Esophagogastroduodenoscopy demonstrated multiple 2–3 mm diameter whitish granules in her hypopharynx and cervical esophagus. Based on biopsy specimens, we considered the lesions to represent normal tissue or very mild mucosal dysplasia. However, S‐100 immunohistochemical staining 3 years later led to a diagnosis of multiple solitary neurofibromas located in the hypopharynx and cervical esophagus. Histological finding characteristics of neurofibroma were present in 72.7% of hypopharyngeal biopsy specimens and 33.3% of esophageal specimens. When diagnosing neurofibroma, it is important to perform biopsies at multiple locations and at different times and to enlist the cooperation of endoscopists and pathologists for immunohistochemical staining with S‐100.
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Affiliation(s)
- Hamada Kazu
- Department of Gastroenterological Endoscopy Kanazawa Medical University Ishikawa Japan
- Department of Geriatric Medicine Kanazawa Medical University Ishikawa Japan
| | - Shimode Yuzo
- Department of Head and Neck Surgery Kanazawa Medical University Ishikawa Japan
| | - Hata Yoshiyuki
- Department of Gastroenterological Endoscopy Kanazawa Medical University Ishikawa Japan
| | - Kunou Hiroaki
- Department of Gastroenterological Endoscopy Kanazawa Medical University Ishikawa Japan
| | - Kobayashi Rika
- Department of Gastroenterological Endoscopy Kanazawa Medical University Ishikawa Japan
| | - Matsunaga Kazuhiro
- Department of Gastroenterological Endoscopy Kanazawa Medical University Ishikawa Japan
| | - Kawaura Ken
- Department of Gastroenterological Endoscopy Kanazawa Medical University Ishikawa Japan
| | - Mukai Tsuyoshi
- Department of Gastroenterological Endoscopy Kanazawa Medical University Ishikawa Japan
| | - Kitakata Hidekazu
- Department of Gastroenterological Endoscopy Kanazawa Medical University Ishikawa Japan
| | - Itoh Tohru
- Department of Gastroenterological Endoscopy Kanazawa Medical University Ishikawa Japan
| | - Okuro Masashi
- Department of Geriatric Medicine Kanazawa Medical University Ishikawa Japan
| | - Yamada Sohsuke
- Department of Pathology and Laboratory Medicine Kanazawa Medical University Ishikawa Japan
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Liu L, Li Y, Zi Y, Rong D, Li Y, Li X, Xu F, Wu H. MRI findings of benign tumors and tumor-like diseases of the tongue with radiologic-pathologic correlation. Jpn J Radiol 2023; 41:19-26. [PMID: 36097236 DOI: 10.1007/s11604-022-01329-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2022] [Accepted: 08/15/2022] [Indexed: 01/07/2023]
Abstract
Benign tumors or tumor-like lesions of the tongue are uncommon lesions that comprise a heterogeneous group of neoplasms. Although there are a variety of benign tumors or tumor-like lesions, the imaging appearance of these diseases is not well defined because of a paucity of scientific literature on this topic. Most benign tongue tumors usually appear as submucosal bulges located in the deep portion of the tongue. Their true features and extent may only be identified on cross-sectional images such as CT and MRI. Thus, CT and MRI play an important role in the diagnosis of these unusual lesions. It is important that radiologists be able to identify the characteristic CT and MR imaging features that can be used to narrow the differential diagnosis with increased diagnostic confidence, suggest specific histologic tumor types. In this pictorial essay, we provide insights into the MRI presentations of benign tongue tumors and tumor-like diseases and their radiologic-pathologic correlation. Benign tumors or tumor-like lesions of the tongue described herein include papilloma, lipoma, hemangioma, venous malformations, schwannoma, neurofibroma, epidermoid cyst, and dermoid cyst.
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Affiliation(s)
- Lin Liu
- Department of Radiology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, Guangdong, PR China.,Medical College Postgraduate College, Shantou University, Shantou, 515041, Guangdong, PR China.,Guangdong Provincial Key Laboratory of Artificial Intelligence in Medical Image Analysis and Application, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, China
| | - Yulin Li
- Department of Radiology, Meizhou People's Hospital, Meizhou, 514011, Guangdong, PR China
| | - Yunyan Zi
- Department of Radiology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, Guangdong, PR China.,Guangdong Provincial Key Laboratory of Artificial Intelligence in Medical Image Analysis and Application, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, China.,Graduate College, Southern Medical University, Guangzhou, 510515, Guangdong, PR China
| | - Dailin Rong
- Medical Imaging Center, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510630, PR China.,Medical Imaging Center, Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, 651 Dongfeng Rd E, Guangzhou, 510060, Guangdong, PR China
| | - Yanhui Li
- Department of Radiology, The Second Xiangya Hospital of Central South University, Changsha, 510235, Hunan, PR China
| | - Xiuhui Li
- Department of Information Media Industry, Guangzhou Public Utility Technician College, Guangzhou, 510080, Guangdong, PR China
| | - Fangping Xu
- Department of Pathology, Guangdong Provincial People's Hospital/Guangdong Academy of Medical Sciences, Guangzhou, 510080, Guangdong, PR China
| | - Haijun Wu
- Department of Radiology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, Guangdong, PR China. .,Medical College Postgraduate College, Shantou University, Shantou, 515041, Guangdong, PR China. .,Guangdong Provincial Key Laboratory of Artificial Intelligence in Medical Image Analysis and Application, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, China.
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9
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Mesolella M, Allosso S, Insabato L, Franca RA, Salerno G. Isolated neurofibromas of the great auricular nerve: A rare localization in a pediatric patient with neurofibromatosis type-1. EAR, NOSE & THROAT JOURNAL 2022:1455613221077598. [PMID: 35187958 DOI: 10.1177/01455613221077598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Peripheral nerve sheath tumors encompass a spectrum of well-defined clinicopathologic entities, ranging from benign tumors, such as neurofibromas, to high grade malignant neoplasms termed malignant peripheral nerve sheath tumors. Morphologic variability of these tumors is wide, and they engender some of the most controversial, difficult differential diagnoses. Localized neurofibromas often involve a major nerve and result typically in fusiform expansion of the nerve trunk (intraneural subtype). We report a case of circumscribed solitary neurofibromas in a 14-year-old boy with NF1 who presented to our department with a left neck swelling. The neurofibromas lesion involved the anterior branch of the great auricular nerve. The sensory symptoms initially reported by the patient (paresthesia and hyperesthesia) in the lower preauricular region. Surgical treatment represents the therapeutic method of choice in the approach to neurofibromas, considering functional disorders and possible aesthetic deformities. The case described presented difficulties in surgical excision, based on risk of functional and aesthetic results.
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Affiliation(s)
- Massimo Mesolella
- Unit of Otorhinolaryngology, Department of Neuroscience, Reproductive Sciences and Dentistry, 478484University Federico II of Naples, Naples, Italy
| | - Salvatore Allosso
- Unit of Otorhinolaryngology, Department of Neuroscience, Reproductive Sciences and Dentistry, 478484University Federico II of Naples, Naples, Italy
| | - Luigi Insabato
- Department of Advanced Biomedical Sciences, 9307University Federico II, Naples, Italy
| | - Raduan Ahmed Franca
- Department of Advanced Biomedical Sciences, 9307University Federico II, Naples, Italy
| | - Grazia Salerno
- Unit of Otorhinolaryngology, Department of Neuroscience, Reproductive Sciences and Dentistry, 478484University Federico II of Naples, Naples, Italy
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Spoorthy B, Jartarkar S, Kareddy S. Solitary neurofibroma over lower lip: A rare manifestation. J Cutan Aesthet Surg 2022; 15:189-192. [PMID: 35965910 PMCID: PMC9364456 DOI: 10.4103/jcas.jcas_100_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Neurofibromas are common nerve sheath tumors, occurring either sporadically or associated with Von Recklinghausen’s disease. Only 6.5% of solitary lesions are seen to involve the oral cavity without any features of neurofibromatosis type 1 (NF-1). It presents as a soft, skin-colored nodule with a characteristic buttonhole invagination. Histologically, it is an unencapsulated lesion consisting of proliferated neural elements, with a background of mucin and mast cells. Surgical excision is the treatment of choice. A 49-year-old female patient presented with a 35-year history of single, asymptomatic lesion over the lower lip, with no features of NF-1. On the basis of the history, histopathological findings, and dermoscopy, a diagnosis of neurofibroma was made and the lesion was excised, with no recurrence over a period of 1 year. The present case report has been reported for its interesting presentation and unusual site of involvement.
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Taketomi T, Nakamura K, Teratani Y, Matsuo K, Kusukawa J. Solitary Neurofibroma of the Hard Palate: A Case Report and Literature Review. AMERICAN JOURNAL OF CASE REPORTS 2021; 22:e929674. [PMID: 33617517 PMCID: PMC7912926 DOI: 10.12659/ajcr.929674] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Patient: Female, 24-year-old Final Diagnosis: Neurofibroma Symptoms: Bulging of the hard palate Medication: — Clinical Procedure: — Specialty: Dentistry • Oncology
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Affiliation(s)
- Takaharu Taketomi
- Dental and Oral Medical Center, Kurume University School of Medicine, Kurume, Fukuoka, Japan.,Department of Dental and Oral Surgery, Takagi Hospital, Okawa, Fukuoka, Japan
| | - Ken Nakamura
- Dental and Oral Medical Center, Kurume Unversity School of Medicine, Kurume, Fukuoka, Japan.,Department of Dental and Oral Surgery, Takagi Hospital, Okawa, Fukuoka, Japan
| | - Yui Teratani
- Dental and Oral Medical Center, Kurume University School of Medicine, Kurume, Fukuoka, Japan
| | - Katsuhisa Matsuo
- Dental and Oral Medical Center, Kurume University School of Medicine, Kurume, Fukuoka, Japan
| | - Jingo Kusukawa
- Dental and Oral Medical Center, Kurume University School of Medicine, Kurume, Fukuoka, Japan
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Jung J, Shin J, Ohe JY. A large pedunculated nodule in the tongue in a 52-year-old male. Oral Surg Oral Med Oral Pathol Oral Radiol 2020; 132:4-9. [PMID: 33012672 DOI: 10.1016/j.oooo.2020.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2020] [Revised: 08/12/2020] [Accepted: 09/04/2020] [Indexed: 11/27/2022]
Affiliation(s)
- Junho Jung
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyung Hee University, Seoul, Republic of Korea
| | - Jongseok Shin
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyung Hee University, Seoul, Republic of Korea
| | - Joo-Young Ohe
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyung Hee University, Seoul, Republic of Korea.
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Straughan AJ, Badger C, Javan R, Fuson A, Joshi AS. Unusual presentation of submandibular lingual nerve sheath tumour as sublingual stone. BMJ Case Rep 2020; 13:13/6/e233759. [PMID: 32595129 DOI: 10.1136/bcr-2019-233759] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
A 60-year-old woman was referred to the otolaryngologist for 18 months of left-sided tongue pain and taste changes. Surgeon-performed ultrasound of the submandibular region revealed a hyperechoic mass. Wharton's duct was dilated proximally and the submandibular gland demonstrated normal vascularity. While these findings were highly suspicious for submandibular gland sialolith, an in-office attempt at sialolithotomy suggested an alternate process or mass. After imaging failed to further elucidate an aetiology, surgical exploration revealed a well-circumscribed submandibular mass associated with the lingual nerve. The mass was removed en-bloc and pathology revealed a schwannoma of the lingual nerve.
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Affiliation(s)
- Alexander J Straughan
- Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, George Washington University School of Medicine and Health Sciences, Washington, DC, USA
| | - Christopher Badger
- Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, George Washington University School of Medicine and Health Sciences, Washington, DC, USA
| | - Ramin Javan
- Division of Neuroradiology, Department of Radiology, George Washington University School of Medicine and Health Sciences, Washington, DC, USA
| | - Andrew Fuson
- Department of Otolaryngology, University of Alabama School of Medicine, Birmingham, Alabama, USA
| | - Arjun S Joshi
- Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, George Washington University School of Medicine and Health Sciences, Washington, DC, USA
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