Yang S W, Chen C Y, Lin C Y
Department of Otorhinolaryngology, Chang Gung Memorial Hospital, Keelung, Taiwan, R.O.C.
Chang Gung Med J. 2000 Aug;23(8):498-502.
Lingual osteoma, a rare clinical entity, has been found mainly in the posterior region of tongue. It mostly affects women in their third and fourth decades of life and occurs less frequently in men. We report an unusual case of a 42-year-old male patient who developed a lingual osteoma near the foramen cecum. The patient underwent excision of the tumor mass under local anesthesia and had an uneventful postoperative course. Symptoms of the mass effect were noted to resolve after surgical intervention. Histologically, mature lamellar bone with haversian systems was seen. The pathogenesis of this rare tumor is a controversial problem and its nomenclature also remains an issue of debate. Discussion of the controversial pathogenesis of lingual osteoma and a review of the literature on its clinical characteristics are included in this report.
舌骨瘤是一种罕见的临床病症，主要发现于舌后部。它多见于三四十岁的女性，男性发病较少。我们报告一例不寻常的病例，一名42岁男性患者在盲孔附近发生了舌骨瘤。该患者在局部麻醉下接受了肿瘤块切除手术，术后过程顺利。手术干预后，肿块效应的症状得以缓解。组织学检查可见带有哈弗斯系统的成熟板层骨。这种罕见肿瘤的发病机制是一个有争议的问题，其命名也仍然是一个有争议的问题。本报告包括对舌骨瘤有争议的发病机制的讨论以及对其临床特征的文献综述。
