Migration of Fish Bone Following Penetration of the Submandibular Gland Presenting as a Neck Mass.
10.3342/kjorl-hns.2011.54.10.715
- Author:
Joon Seok KO
1
;
Sung Jun WON
;
Jin Pyeong KIM
;
Seung Hoon WOO
Author Information
1. Department of Otorhinolaryngology, School of Medicine, Gyeongsang National University, Jinju, Korea. lesaby@hanmail.net
- Publication Type:Case Report
- Keywords:
Fish bones;
Granuloma;
Foreign-body;
Submandibular gland
- MeSH:
Diagnosis, Differential;
Epithelioid Cells;
Granuloma;
Granuloma, Foreign-Body;
Humans;
Male;
Middle Aged;
Mouth Floor;
Neck;
Submandibular Gland
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2011;54(10):715-718
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
An ingested fish bone presenting as an unresolving inflamed neck mass is rare. The purpose of this article was to describe the clinical and microscopic features of a foreign-body granuloma in submandibular region that resulted from a fish bone embedded in the floor of mouth. A 45-year-old male patient complained of a hard mass in submandibular region. Computer tomography allowed that localize of the lesion and the fish bone penetrating a submandibular gland. We successfully operated on the patient to excise the mass. A microscopic examination showed a anewly-formed granuloma, composed of lympocytes and epithelioid cells, and some microabscess with neurophiles. The final diagnosis was a foreign-body granuloma with a fish bone. Even though foreign-body granulomas in submandibular region are rare lesions, surgeons should be familiar with their features and include them in the differential diagnosis of tissue masses.
