ABSTRACT
The glomus tumour is a rare neoplasm derived from the glomus apparatus. Subungual sites are most common with only three published cases involving the dorsal tongue. To our knowledge, this is the first case of an intraoral malignant glomus tumour (glomangiosarcoma) to be published in English literature. We report a case of a single glomus tumour located on the posterior dorsal tongue of a middle-aged man, which was surgically excised. Immunohistological features were indicative of a glomus tumour; however, in this case, malignant features were also discovered, warranting re-excision.
Subject(s)
Glomus Tumor/diagnosis , Tongue Neoplasms/diagnosis , Biopsy, Fine-Needle , Glomus Tumor/pathology , Glomus Tumor/surgery , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Reoperation , Tongue Neoplasms/pathology , Tongue Neoplasms/surgerySubject(s)
Neurilemmoma/pathology , Nose Neoplasms/pathology , Rhinophyma/pathology , Surgery, Plastic , Female , Humans , Middle Aged , Neurilemmoma/psychology , Neurilemmoma/surgery , Nose Neoplasms/psychology , Nose Neoplasms/surgery , Patient Satisfaction , Quality of Life , Rhinophyma/psychology , Treatment OutcomeABSTRACT
Isolated submandibular swellings pose a diagnostic challenge to the practising otolaryngologist. We report an unusual case of mumps isolated to bilateral submandibular glands. We discuss the case and the literature surrounding this condition and remind clinicians that mumps should be considered as a diagnosis in the presence of submandibular gland swelling in the absence of typical parotid swelling associated with mumps. Early consideration of this differential diagnosis, serological testing and a multidisciplinary approach may help to clinch the diagnosis earlier and prevent spread of the virus.
Subject(s)
Mumps/diagnosis , Submandibular Gland Diseases/pathology , Submandibular Gland/pathology , Submandibular Gland/virology , Aftercare , Diagnosis, Differential , Female , Humans , Lymphadenopathy/pathology , Mumps/epidemiology , Mumps/virology , Paramyxoviridae/isolation & purification , Parotid Gland/pathology , Parotid Gland/virology , Serologic Tests/methods , Submandibular Gland/diagnostic imaging , Submandibular Gland Diseases/virology , Tomography, X-Ray Computed/methods , Treatment Outcome , Young AdultABSTRACT
Langerhans cell histiocytosis is a rare disorder, with resultant bilateral sensorineural hearing loss unreported in adults. A 42-year-old man presented with 4 months of right-sided tinnitus and hearing loss treated initially as otitis media with effusion. He re-presented 5 months later with progressive bilateral hearing loss--sensorineural (>100 dB) on pure tone audiogram. CT showed bilateral petrous temporal bone and calvarial lesions. Biopsy confirmed diagnosis of Langerhans cell histiocytosis and chemotherapy was started. Though uncommon, Langerhans cell histiocytosis should be considered among the differentials of persistent otological symptoms, as its progressive nature can cause bilateral irreversible sensorineural hearing loss.
