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

• Ko JS
• Won SJ
• Kim JP
• Woo SH

• KMID: 2141159
• DOI: http://doi.org/10.3342/kjorl-hns.2011.54.10.715

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