Chondroma of the Tongue

Abstract

Introduction: Chondromas are rare mesenchymal benign tumors that are most often encountered in pelvis and ribs, and rarely in head and neck region. They account for about 10% of all benign chondroid proliferations and the rarest occurrence of soft tissue chondromas is within oral cavity. Case: A 10-year-old female patient was referred to our Clinic because of moderate speech impairment, swallowing disturbances and foreign body sensation in tongue. On clinical examination and MRI scans, hard, painless, clearly demarcated submucosal mass was observed on the left side of the tongue. Surgery was perfomed using intraoral incision approach, and the tumor was completly removed. Histopathological examination of the specimen was positive for chondroma. Conclusion: Chondromas benign tumors of mature hyaline cartillage localized in soft tissues of head and neck region. Growing slowly, and painlessly, they remain silent for some period, until reaching certain dimensions, and becoming symptomatous. Magnetic resonance imaging scan provides complete information about localization, size, growth of the tissue, and contributes significantly to the decision of appropriate surgical approach.

Benign extra skeletal chondroma of the tongue in a 16-year-old female

“…4 In a review of the 33 cases documented worldwide published in 2011 of 46 chondroma lesions isolated the to the oral cavity, the tongue was the most frequently occurring place of this rare entity. 4,5 Between this case series in 2011 aforementioned and 2019, one more tongue lesion had been reported until this case report of this 16-year-old. To our knowledge since 2019, the case of this 16-year-old girl is the latest chondroma of the tongue documented worldwide.…”

“…This case involves a 16-year-old who self-reports a lesion persisting for 10 years, showing no growth and remaining asymptomatic, adding an intriguing aspect to the presentation. 5 Literature reports that the oral cavity soft tissue chondromas are most commonly seen in adults, with the female sex more prevalent and the common areas being the lateral tongue and dorsum of the tongue. 6,7 While the lateral and dorsum of the tongue are the most common, the anterior ⅔ is generally where the lesions are found, making this posterior lesion a rare documented occurrence.…”

“…A review of limited pediatric lingual chondromas available, a previously reported case of a 10-year old female, conversely to the patient described above, had a speech impairment that was attributed to a 3-month swelling on the left side of the tongue with no visible physical changes other than a palpable mass. 5 Many pediatric patients had no symptoms and a long period of indolence prior to presentation, with average of pediatric presentation being 2.5 years with the very limited case reports available. [4][5][6][7][8] When looking at adult population who notated growth starting in pediatric years, the average time to presentation was found to be 22.5 years ranging in adults in the early 20s to early 40s.…”

“…5 Many pediatric patients had no symptoms and a long period of indolence prior to presentation, with average of pediatric presentation being 2.5 years with the very limited case reports available. [4][5][6][7][8] When looking at adult population who notated growth starting in pediatric years, the average time to presentation was found to be 22.5 years ranging in adults in the early 20s to early 40s. 7 When reviewing the available data for pediatric oral chondromas in general, of the 47 cases known to date excluding this report above, to our knowledge it appears, less than a quarter of those cases are attributed to pediatric causes, and the overwhelming majority is located on the tongue followed by the gingiva.…”

Inflammatory Fibrous Hyperplasia Associated with Chondroid Metaplasia - Report and Morphological Analysis of Five Cases

“…However, the clinical history of the lesion is essential for establishing the diagnosis given chondroma and cartilaginous choristoma, contrary to the IFH associated with CM, do not present local trauma as an etiopathogenic factor. Besides that, the first one is defined as a benign neoplasm and the second consists of the presence of a cohesive and wellorganized growth of normal cells/tissue in an abnormal location, while IFH associated with CM is characterized as a reactive lesion (Tenorio et al, 2016;Bosotti et al, 2019;Dimitrijevic et al, 2019;Sethi et al, 2020).…”