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Rare disease
Case report
Unusual presentation of submandibular lingual nerve sheath tumour as sublingual stone
Free
  1. Alexander J Straughan1,
  2. Christopher Badger1,
  3. Ramin Javan2,
  4. Andrew Fuson3 and
  5. Arjun S Joshi1
  1. 1Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, George Washington University School of Medicine and Health Sciences, Washington, DC, USA
  2. 2Division of Neuroradiology, Department of Radiology, George Washington University School of Medicine and Health Sciences, Washington, DC, USA
  3. 3Department of Otolaryngology, University of Alabama School of Medicine, Birmingham, Alabama, USA
  1. Correspondence to Mr Alexander J Straughan; AStraughan{at}gwmail.gwu.edu

Abstract

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.

  • ear, nose and throat/otolaryngology
  • head and neck cancer

https://doi.org/10.1136/bcr-2019-233759

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    Footnotes

    • Contributors Supervised by ASJ. Patient was under the care of ASJ. Report was written by AJS, CB, RJ, AF, and ASJ.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.