Painful tongue leiomyoma

Felix, Felippe; Gomes, Geraldo Augusto; Tomita, Shiro; Júnior, Albino Fonseca; Miranda, Luzia Abrão El Hadj; Arruda, Andréia Migueres

doi:10.1016/s1808-8694(15)31032-6

Cited by 5 publications

(3 citation statements)

References 3 publications

(4 reference statements)

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“…An extensive review published in 2000 revealed only 28 cases of leiomyoma in the tongue, of which only eight were nonvascular leiomyomas [10]. Subsequently, we found that only two other possible non-vascular leiomyomas of the tongue have been described of which only one could be absolutely confirmed [11,12].…”

Section: Discussionmentioning

confidence: 76%

Unusual Benign Smooth Muscle Lesions of the Tongue: Review and Report of Two Cases

Darling

Wehrli

Zeligman³

et al. 2010

Head and Neck Pathol

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Section: Discussionmentioning

confidence: 76%

Unusual Benign Smooth Muscle Lesions of the Tongue: Review and Report of Two Cases

Darling

Wehrli

Zeligman³

et al. 2010

Head and Neck Pathol

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“…The differential diagnosis includes inflammatory and infectious diseases, such as actinomycosis, granulomatous lesions of different origins or IgG4-related disease, and congenital lesions or tumoral masses [5,[32][33][34]. Focusing on the latter group, submucosal spread can be present in primary tumors of mesenchymal (e.g., leiomyoma, lipoma, and rhabdomyosarcoma) or salivary origin (particularly pleomorphic adenoma, mucoepidermoid, and adenoid cystic carcinoma), but also squamous cell carcinoma, which almost invariably affects the epithelial lining, has been seldomly reported as a submucosal hardened lesion [35][36][37][38][39][40][41]. The tongue can also be the site of lymphoproliferative disease (primarily B-cell, non-Hodgkin lymphoma) or distant metastasis, mainly developing from lung and renal carcinoma or cutaneous melanoma [5,38,[42][43][44][45].…”

Section: Discussionmentioning

confidence: 99%

Atypical Tongue Abscesses Mimicking Submucosal Malignancies: A Review of the Literature Focusing on Diagnostic Challenges

Rampi,

Tettamanti,

Bertotto

et al. 2023

Cancers

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Tongue abscesses are rare conditions that usually follow mucosal disruption due to mechanical trauma or foreign body impaction. They typically manifest abruptly as a rapidly growing, hard mass or swelling in the context of tongue muscles; the patient frequently complains of pain, difficulties in swallowing or speaking, and fever. Nonetheless, the features of its presentation, together with accurate clinical evaluation, blood tests, and appropriate imaging tests, are usually sufficient to easily discern a tongue abscess from a malignancy. However, in rare cases, they may occur with slowly progressing and subtle symptoms, nuanced objective and laboratory findings, and inconclusive radiological evidence, leading to difficult differential diagnosis with submucosal malignancy. Herein, we review the literature, available on Pubmed, Embase, and Scopus, on publications reporting tongue abscesses, with atypical presentation suggesting an oral tumor. Our review confirms that tongue abscesses may manifest as a slowly growing and moderately painful swelling without purulent discharge and minimal mucosal inflammation; in this case, they may constitute an actual diagnostic challenge with potentially severe impact on correct management. Atypical tongue abscesses must therefore be considered in the differential diagnosis of tongue malignancy with submucosal extension, even when other diagnostic elements suggest a neoplasia; in this case, a deep biopsy under general anesthesia is essential for differential diagnosis, and simultaneous drainage of the necrotic and abscessual material may resolve the condition.

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“…O tratamento de escolha, geralmente, é a excisão cirúrgica por apresentar recorrência rara (BADEN;DOYLE;LEDERMAN, 1994;(BROOKS et al, 2002). Apesar de ser extremamente raro, quando acomete a cavidade oral a lesão é do tipo sólido ou do tipo vascular e 80% estão localizados no lábio, língua, palato e mucosa jugal (NEVILLE, 2004;SRINATH et al, 2004).O tumor benigno apresenta neste caso como diagnóstico diferencial o fibroma, neurofibroma e lipoma, e se assemelha histologicamente ao leiomiossarcoma e hemangiopericitoma (FELIX et al, 2006). A incidência que mais se destacou foi em homens de 40 a 49 anos de idade e apresenta-se com menor frequência nas mulheres (LUACES-REY et al, 2007).…”

Section: Caso Clínicounclassified

A Importância Do Cirurgião Dentista No Diagnóstico Precoce Das Lesões Cancerizáveis E Ou De Câncer Na Cavidade Oral

Straub¹,

Gottardo²

2018

Rev. Uningá

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O miofibroma é uma lesão benigna raramente encontrada na cavidade oral que afeta na maioria das vezes crianças e adolescentes, porém também pode ser encontrado em adultos, acometendo a região mandibular. O diagnóstico é uma fase importante na clínica odontológica, portanto é de suma importância que o cirurgião dentista tenha conhecimento da frequência das lesões em cavidade oral, entretanto estudos relacionados à tumores benignos é bem reduzido. Para um diagnóstico definitivo há a necessidade de exames clínicos, radiográficos, histopatológicos e imuno-histoquímico. A excisão cirúrgica é o tratamento mais considerado dependendo do tamanho da lesão, sendo que a recidiva da lesão é rara. O presente artigo buscou alertar o profissional da área médica e odontológica acerca da importância de se fazer um diagnóstico precoce de lesões cancerizáveis e ou de câncer, evitando deste modo a progressão da lesão, diminuindo a morbidade do paciente frente ao tratamento das mesmas.

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Painful tongue leiomyoma

Cited by 5 publications

References 3 publications

Unusual Benign Smooth Muscle Lesions of the Tongue: Review and Report of Two Cases

Unusual Benign Smooth Muscle Lesions of the Tongue: Review and Report of Two Cases

Atypical Tongue Abscesses Mimicking Submucosal Malignancies: A Review of the Literature Focusing on Diagnostic Challenges

A Importância Do Cirurgião Dentista No Diagnóstico Precoce Das Lesões Cancerizáveis E Ou De Câncer Na Cavidade Oral

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