Solitary neurofibroma at the base of the tongue: A rare presentation

A 75-year-old man presented with a slowly growing mass at the right side of the base of the tongue for 4 months. The mass was painless initially but had become very painful during preceding 4 weeks. On examination a 3 cm diameter, oval swelling was observed at the right side of the base of the tongu...

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Main Authors: Paromita Roy, Sayantani Chakraborty, Sudip Das, Alok Roy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Indian Journal of Dermatology
Subjects:
Online Access:http://www.e-ijd.org/article.asp?issn=0019-5154;year=2015;volume=60;issue=5;spage=497;epage=499;aulast=
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author Paromita Roy
Sayantani Chakraborty
Sudip Das
Alok Roy
author_facet Paromita Roy
Sayantani Chakraborty
Sudip Das
Alok Roy
author_sort Paromita Roy
collection DOAJ
description A 75-year-old man presented with a slowly growing mass at the right side of the base of the tongue for 4 months. The mass was painless initially but had become very painful during preceding 4 weeks. On examination a 3 cm diameter, oval swelling was observed at the right side of the base of the tongue. It was firm in consistency, slightly tender, non-ulcerative, and with irregular surface. A deep incisional biopsy was taken from mass under general anesthesia. Histopathology report identified the mass consistent with neurofibroma. It featured typical pallisading arrangement of fascicles of spindle-shaped cells and there was no evidence of malignancy. An absence of Verocay body and thick hyalinized vessels ruled out Schwannoma. No similar lesions were found in any other part of the patient′s body. He exhibited no skin pigmentation, no hearing deficit, and no evidence suggestive of any systemic disorders that might have been attributable to the tongue base neurofibroma. His family history was also negative. Thus, a diagnosis of isolated neurofibroma of the tongue was established. The patient was advised excision of the mass but he refused and lost in follow up.
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spelling doaj.art-7e6a54f3925745709912ade180b25e282022-12-22T02:42:17ZengWolters Kluwer Medknow PublicationsIndian Journal of Dermatology0019-51541998-36112015-01-0160549749910.4103/0019-5154.164374Solitary neurofibroma at the base of the tongue: A rare presentationParomita RoySayantani ChakrabortySudip DasAlok RoyA 75-year-old man presented with a slowly growing mass at the right side of the base of the tongue for 4 months. The mass was painless initially but had become very painful during preceding 4 weeks. On examination a 3 cm diameter, oval swelling was observed at the right side of the base of the tongue. It was firm in consistency, slightly tender, non-ulcerative, and with irregular surface. A deep incisional biopsy was taken from mass under general anesthesia. Histopathology report identified the mass consistent with neurofibroma. It featured typical pallisading arrangement of fascicles of spindle-shaped cells and there was no evidence of malignancy. An absence of Verocay body and thick hyalinized vessels ruled out Schwannoma. No similar lesions were found in any other part of the patient′s body. He exhibited no skin pigmentation, no hearing deficit, and no evidence suggestive of any systemic disorders that might have been attributable to the tongue base neurofibroma. His family history was also negative. Thus, a diagnosis of isolated neurofibroma of the tongue was established. The patient was advised excision of the mass but he refused and lost in follow up.http://www.e-ijd.org/article.asp?issn=0019-5154;year=2015;volume=60;issue=5;spage=497;epage=499;aulast=Base of the tongueneurofibromasolitary
spellingShingle Paromita Roy
Sayantani Chakraborty
Sudip Das
Alok Roy
Solitary neurofibroma at the base of the tongue: A rare presentation
Indian Journal of Dermatology
Base of the tongue
neurofibroma
solitary
title Solitary neurofibroma at the base of the tongue: A rare presentation
title_full Solitary neurofibroma at the base of the tongue: A rare presentation
title_fullStr Solitary neurofibroma at the base of the tongue: A rare presentation
title_full_unstemmed Solitary neurofibroma at the base of the tongue: A rare presentation
title_short Solitary neurofibroma at the base of the tongue: A rare presentation
title_sort solitary neurofibroma at the base of the tongue a rare presentation
topic Base of the tongue
neurofibroma
solitary
url http://www.e-ijd.org/article.asp?issn=0019-5154;year=2015;volume=60;issue=5;spage=497;epage=499;aulast=
work_keys_str_mv AT paromitaroy solitaryneurofibromaatthebaseofthetongueararepresentation
AT sayantanichakraborty solitaryneurofibromaatthebaseofthetongueararepresentation
AT sudipdas solitaryneurofibromaatthebaseofthetongueararepresentation
AT alokroy solitaryneurofibromaatthebaseofthetongueararepresentation