Foreign body granuloma in the submental region due to fish bone: a case report

Abstract

The purpose of this article was to describe the clinical and microscopic features of a foreign‐body granuloma in submental region that resulted from a fish bone embedded in the floor of mouth. A 45‐year‐old female patient complained of a hard mass in submental region. Clinical examination showed a non‐compressible, firm, fixed lump, painless on palpation. Ultrasound examination showed an internally uneven, uncircumscribed, hypoechoic mass with a steaky hyperechoic spot of 1.1 cm length in the center. A microscopic examination showed newly‐formed granuloma, composed of lympocytes and epithelioid cells, and some microabscess with neurophiles. The final diagnosis was a foreign‐body granuloma with fish bone. Even though foreign‐body granulomas in submental region are rare lesions, surgeon should be familiar with their features and include them in the differential diagnosis of tissue masses.

An Unusual Foreign Body in Upper Lip: A Case Report

“…A careful evaluation of the radio density and the deviation of the normal anatomic structure of the hard palate on the right side were evaluated to locate the foreign body however an IOPA of the lip would have been more informative and evaluative, hannon et al reported a silica granuloma of the lip (5) odell et al reported a foreign body giant cell reaction elicited by a haemostatic alginate, (6) owens et al published a study showing oral amalgam tattoos accounted for almost 1% of approximately 19000 pathology reports on file, (7) Ding et al reported foreign body granuloma in the sub mental region due to fish bone. (8) Although foreign body reactions are commonly associated with trauma related events, it is important to investigate and evaluate them with utmost care. A proper history, clinical evaluation and the appropriate investigation will help us in diagnosis and treatment of these conditions with accuracy.…”