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KMID : 0361020110540100715
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Korean Journal of Otolaryngology - Head and Neck Surgery
2011 Volume.54 No. 10 p.715 ~ p.718
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Migration of Fish Bone Following Penetration of the Submandibular Gland Presenting as a Neck Mass
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Ko Joon-Seok
Won Seong-Jun
Kim Jin-Pyeong
Woo Seung-Hoon
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Abstract
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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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KEYWORD
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Fish bones, Granuloma, Foreign-body, Submandibular gland
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