Korean J Otorhinolaryngol-Head Neck Surg.  2011 Oct;54(10):715-718. 10.3342/kjorl-hns.2011.54.10.715.

Migration of Fish Bone Following Penetration of the Submandibular Gland Presenting as a Neck Mass

Affiliations
  • 1Department of Otorhinolaryngology, School of Medicine, Gyeongsang National University, Jinju, Korea. lesaby@hanmail.net
  • 2Institute of Health Sciences, School of Medicine, Gyeongsang National University, Jinju, Korea.

Abstract

An ingested fish bone presenting as an unresolving inflamed neck mass is rare. The purpose of this article was to describe the clinical and microscopic features of a foreign-body granuloma in submandibular region that resulted from a fish bone embedded in the floor of mouth. A 45-year-old male patient complained of a hard mass in submandibular region. Computer tomography allowed that localize of the lesion and the fish bone penetrating a submandibular gland. We successfully operated on the patient to excise the mass. A microscopic examination showed a anewly-formed granuloma, composed of lympocytes and epithelioid cells, and some microabscess with neurophiles. The final diagnosis was a foreign-body granuloma with a fish bone. Even though foreign-body granulomas in submandibular region are rare lesions, surgeons should be familiar with their features and include them in the differential diagnosis of tissue masses.

Keyword

Fish bones; Granuloma; Foreign-body; Submandibular gland

MeSH Terms

Diagnosis, Differential
Epithelioid Cells
Granuloma
Granuloma, Foreign-Body
Humans
Male
Middle Aged
Mouth Floor
Neck
Submandibular Gland
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