舌根部骨瘤1例

Osteoma of lingual base:a case report

1病例报告患者,女,26岁,近2周出现咽部异物感,无咽痛发热、咳嗽咳痰,无呼吸及吞咽困难,门诊喉动态镜(图1)检查发现舌根部肿物,于2019年3月19日入院行手术治疗。胸片、心电图、血尿生化检验等未见明显异常。专科检查:舌根左侧有一0.7cm×0.8cm×0.4cm大小结节样肿物,高出舌根表面,肿物表面光滑、色灰白,扪之边界清楚,无压痛,质地硬。临床诊断为舌根肿物。完善术前准备后,于全身麻醉低温等离子下行舌根肿物切除术。完整切除肿物并送术后病理检查。光镜下(图2)见骨组织,表面被覆鳞状上皮,未见明确异型。病理诊断:(舌根)见骨组织,符合骨瘤。术后确定诊断:左舌根软骨迷离瘤。术后随访半年,无复发。

Osteoma of lingual base is a rare disease which consists of well-developed bone surrounded by epithelial tissue on the surface of tongue.This article reported a case of osteoma of lingual base in the oral-cavity.The patient was admitted to hospital on March 2019 and developed foreign body sensation in pharynx in the last 2 weeks,without pharyngeal pain and fever,cough and sputum,breathing and swallowing difficulties.No obvious abnormality was found in chest radiograph,electrocardiogram and biochemical test of hematuria.There was a nodular mass in the size of 0.7 cm×0.8 cm×0.4 cm on the left side of the base of the tongue,which was higher than the surface of the base of the tongue.The surface of the mass was smooth,gray in color,with clear boundaries of touch,no tenderness,and hard texture.The clinical diagnosis was a mass at the base of the tongue.