Retrospective clinical study of 296 patients with mass lesions of the tongue

Abstract

To better understand the clinical features of mass lesions of the tongue, we retrospectively evaluated frequency, recurrence rate, and complications in 296 patients who had undergone surgery for such lesions. The diagnoses were fibroma (43.6%), mucous cyst (14.2%), papilloma (11.8%), hemangioma (7.8%), granuloma (6.4%), lipoma (1.4%), schwannoma (1.0%), ectopic tonsil (0.7%), and other (13.2%). Recurrence was noted in two patients (0.7%). Twentytwo patients (7.4%) developed surgical complications, including lingual nerve paralysis (6.4%), glossodynia (0.6%), and postoperative infection (0.3%). Lingual nerve paralysis was observed in the ventral portion (42.1%) of the tongue, apex (36.8%), lateral border (10.5%), and dorsum (10.5%). When all sites were considered together, there was no significant difference in the number of patients presenting with lingual nerve paralysis (P = 0.075). However, there were significant differences in lingual nerve paralysis at the lateral border (P < 0.05), apex (P < 0.05), and dorsum (P < 0.001) but not at the ventral portion (P > 0.05) in the size of the patients with versus without it which suggests that the risk of lingual nerve paralysis is higher at the ventral tongue, regardless of tumor size. These results shed light on the clinical features of mass lesions of the tongue.

Multicentre retrospective study of 97 cases of intraoral lipoma

“…Clinical differential diagnosis of oral lipoma must be performed with other benign tumours, mainly fibromas or fibroepithelial hyperplasias, salivary neoplasms, schwannoma, neurofibroma, etc However, it can also be found in the parotid gland and intraosseous regions, mimicking cysts …”

“…with other benign tumours, mainly fibromas or fibroepithelial hyperplasias, salivary neoplasms, schwannoma, neurofibroma, etc 10,15 However, it can also be found in the parotid gland and intraosseous regions, mimicking cysts. 16 In our series, 8.2% of the cases occurred in the palate, which according to the literature is a rare location, 17 and almost 16% of them were on the tongue.…”

“…Histologically, intraoral lipomas are mainly composed of a proliferation of mature adipose cells that can adopt diverse patterns: simple lipoma, fibrolipoma, myxoid lipoma, spindle cell lipoma, etc Simple and fibrous lipomas are the most common in the oral cavity …”

“…Histologically, intraoral lipomas are mainly composed of a proliferation of mature adipose cells that can adopt diverse patterns: simple lipoma, fibrolipoma, myxoid lipoma, spindle cell lipoma, etc Simple and fibrous lipomas are the most common in the oral cavity. 6,9,10 The objective of this study is to identify the main clinicopathological characteristics of this tumour in a case series of OL in a population from Spain and Brazil, as well as to analyse the differences between these two groups and other countries. informed consent, and their data were dissociated and anonymized for the statistical analysis.…”

A Multicenter Study of Tongue Lesions from Thailand

“…by Aittiwarapoj et al, 23 Shamloo et al, 24 Gambino et al, 27 and Miyake et al 28 . Ion Ciucă Mărăşescu et al 29 reported that two-thirds of carcinoma of the tongue developed in the mobile part of the tongue, especially the margins.…”