Hodgkin's disease presenting as a submental mass

Kempers, Kevin G; Foote, Joseph; Zimmerman, R. L.; Choi, John K.

doi:10.1016/s0278-2391(99)90878-9

Cited by 3 publications

(3 citation statements)

References 14 publications

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“…Diagnostic considerations for a slowly enlarging, mildly symptomatic submental mass could include a reactive lymphadenitis, epidermoid cyst, dermoid cyst and lymphoma. The differential diagnosis included lipoma, fibroma, Ludwig'sangina, acute infection or cellulitis of the floor of the mouth, ranula, thyroglossal duct cyst, cystic hygroma, unilateral or bilateral blockage of Wharton's ducts, branchial cleft cysts, infection of submaxillary and sublingual glands, and benign and malignant tumors of the floor of the mouth and adjacent salivary glands 5,6 . In these cases, it is necessary to use ultrasonography, computed tomography or magnetic resonance imaging together with cytologic examination by fine‐needle aspiration biopsy to come to a final diagnosis 7 .…”

Section: Discussionmentioning

confidence: 99%

Foreign body granuloma in the submental region due to fish bone: a case report

et al. 2010

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The purpose of this article was to describe the clinical and microscopic features of a foreign‐body granuloma in submental region that resulted from a fish bone embedded in the floor of mouth. A 45‐year‐old female patient complained of a hard mass in submental region. Clinical examination showed a non‐compressible, firm, fixed lump, painless on palpation. Ultrasound examination showed an internally uneven, uncircumscribed, hypoechoic mass with a steaky hyperechoic spot of 1.1 cm length in the center. A microscopic examination showed newly‐formed granuloma, composed of lympocytes and epithelioid cells, and some microabscess with neurophiles. The final diagnosis was a foreign‐body granuloma with fish bone. Even though foreign‐body granulomas in submental region are rare lesions, surgeon should be familiar with their features and include them in the differential diagnosis of tissue masses.

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Section: Discussionmentioning

confidence: 99%

Foreign body granuloma in the submental region due to fish bone: a case report

et al. 2010

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“…40 Localized primary extranodal Hodgkin's disease has been reported in the palate, nasal septum, submandibular gland, buccal mucosa, parotid gland, and tongue. 39 Hodgkin's disease shows a low SI on T1WI, a high SI on T2WI, 18 and a somewhat increased SI on enhancement T1WI. 25 Non-Hodgkin's lymphomas are homogeneous, even if very large, and they show a low SI on T1WI, a high SI on T2WI, and moderate enhancement on enhancement T1WI.…”

Section: Discussionmentioning

confidence: 99%

“…[17][18][19][20][21][22][23][24] It can be difficult to distinguish between such lesions, because they all present as swellings or masses. However, in the interest of conducting the least-invasive procedure possible, surgeons should distinguish between these lesions prior to treatment.…”

Section: Introductionmentioning

confidence: 99%

Assessment of lesions arising or extending in the submental region with magnetic resonance imaging

et al. 2005

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Objectives. Various types of lesion have been reported in the submental region, but submental masses can be difficult to diagnose. Our objective was to attempt to diagnose submental masses by using magnetic resonance imaging (MRI) along with clinical data. Methods. We attempted to diagnose seven cases in which the chief complaint was submental swelling; diagnosis was carried out on the basis of features visualized by MRI. Results. Seven types of lesions were observed: phlegmone and abscess caused by osteomyelitis; epidermoid cyst; thyroglossal duct cyst; abscess-forming granulomatous lymphadenitis; T-cell lymphoma (suspected Hodgkin's disease); non-Hodgkin's B-cell lymphoma; and lymph node metastasis from squamous cell carcinoma in the tongue. Conclusions. The magnetic resonance images of each lesion revealed characteristic features. Thus, MRI may be useful for the differential diagnosis of submental swelling before the initiation of treatment.

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

Won

Kim

et al. 2011

Korean J Otorhinolaryngol-Head Neck Surg

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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.

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Hodgkin's disease presenting as a submental mass

Cited by 3 publications

References 14 publications

Foreign body granuloma in the submental region due to fish bone: a case report

Foreign body granuloma in the submental region due to fish bone: a case report

Assessment of lesions arising or extending in the submental region with magnetic resonance imaging

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

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