Unusual presentation of submandibular lingual nerve sheath tumour as sublingual stone

Authors

Alexander J. Straughan, The George Washington University School of Medicine and Health Science
Christopher Badger, The George Washington University School of Medicine and Health Science
Ramin Javan, The George Washington University School of Medicine and Health Science
Andrew Fuson, University of Alabama at Birmingham School of Medicine
Arjun S. Joshi, The George Washington University School of Medicine and Health Science

Document Type

Journal Article

Publication Date

6-28-2020

Journal

BMJ Case Reports

Volume

13

Issue

6

DOI

10.1136/bcr-2019-233759

Keywords

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

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.

APA Citation

Straughan, A., Badger, C., Javan, R., Fuson, A., & Joshi, A. (2020). Unusual presentation of submandibular lingual nerve sheath tumour as sublingual stone. BMJ Case Reports, 13 (6). http://dx.doi.org/10.1136/bcr-2019-233759