Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, George Washington University School of Medicine and Health Sciences, Washington, DC, USA
Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
BMJ Case Rep. 2020 Jun 28;13(6):e233759. doi: 10.1136/bcr-2019-233759.
A 60-year-old woman was referred to the otolaryngologist for 18 months of left-sided tongue pain and taste changes. Surgeon-performed ultrasound of the submandibular region revealed a hyperechoic mass. Wharton's duct was dilated proximally and the submandibular gland demonstrated normal vascularity. While these findings were highly suspicious for submandibular gland sialolith, an in-office attempt at sialolithotomy suggested an alternate process or mass. After imaging failed to further elucidate an aetiology, surgical exploration revealed a well-circumscribed submandibular mass associated with the lingual nerve. The mass was removed en-bloc and pathology revealed a schwannoma of the lingual nerve.
一位 60 岁女性因左侧舌痛和味觉改变被转介至耳鼻喉科医生处。外科医生对颌下区域进行超声检查，发现一高回声肿块。沃顿氏管近端扩张，颌下腺显示正常的血管分布。尽管这些发现高度提示颌下腺涎石，但在办公室进行的涎石切开术尝试提示存在其他过程或肿块。影像学检查未能进一步阐明病因后，手术探查显示与舌神经相关的颌下界限清楚的肿块。肿块整块切除，病理显示为舌神经鞘瘤。
