Hwang Kun, Kim Sun Goo, Ahn Seung Ik, Lee Se Il
Department of Plastic Surgery, College of Medicine, Inha University, Jung-gu, Incheon, Korea.
J Craniofac Surg. 2005 Sep;16(5):859-61. doi: 10.1097/01.scs.0000164333.81428.f3.
The authors report a case of uncommon neurilemmoma on the tip of the tongue. A 23-year-old Korean man presented with a mass on the tip of the tongue, which was noted first 3 years before, when it was a small nodule. The mass had been growing slowly. Physical examination revealed a firm, not-tender, oval, elevated, protruded, red mass on the right side tip of the tongue. It measured 2 x 2 cm. The lesion was well capsulated and separated easily. A complete excision was done, and the wound was closed primarily. Histopathologic examination revealed an encapsulated spindle cell tumor, of which two types of the tissue were clear. A small and slow-growing mass in the tongue with positive history of tongue bite is first suggestive of neurilemmoma, as well as neurofibroma, lingual cyst, and minor salivary gland tumor.
作者报告了一例罕见的舌尖神经鞘瘤病例。一名23岁的韩国男性,舌尖出现肿物,最初是在3年前被发现的一个小结节。肿物生长缓慢。体格检查发现舌尖右侧有一个质地坚硬、无压痛、椭圆形、隆起、突出的红色肿物。大小为2×2厘米。病变有完整包膜,易于分离。进行了完整切除,伤口一期缝合。组织病理学检查显示为一个有包膜的梭形细胞瘤,其中两种组织类型清晰。舌尖出现一个生长缓慢的小肿物,并有咬舌史,首先考虑神经鞘瘤,也可能是神经纤维瘤、舌囊肿和小涎腺肿瘤。