Non-Syndromic Oropharyngeal Hamartoma: A Case Report
Authors/Creators
- 1. PGT/JR, Department of Otorhinolaryngology, MGM & LSK Hospital, Kishanganj, Bihar
- 2. PGT/JR, Department of Otorhinolaryngology, MGM & LSK Hospital, Kishanganj Bihar
- 3. Associate Professor, Department of Otorhinolaryngology, MGM & LSK Hospital, Kishanganj, Bihar
Description
This case report details the presentation, investigation, management, and histopathological examination of a rare occurrence – non-syndromic oropharyngeal hamartomas in a 2-year-old child. The child presented with a substantial orofacial mass on the dorsum of the tongue, causing significant functional impairments. Notably, the mass measured 8×4 cm and protruded outside the oral cavity. Additional findings included a nodular mass at the tongue tip, a lobulated mass on the right buccal mucosa (3×4 cm), cleft palate, microphthalmus of the right eye, and an accessory pinna on the right cheek. Diagnostic investigations, including ultrasound, revealed irregular soft tissue lesions with hypochoic areas and vascular channels, indicative of hemangioma. Blood parameters were within normal limits. Due to the size and symptomatic nature of the mass, surgical intervention was planned and executed under general anesthesia with nasal intubation. The procedure involved complete dissection and excision of the masses from the tongue and buccal mucosa. The surgical site was meticulously closed in layers using 4-O vicryl. Postoperatively, the child resumed oral feeds on the third day, and the recovery period was uneventful. Histopathological examination of the excised specimen depicted a hamartomatous lesion of the tongue characterized by stratified squamous epithelial lining, admixture of blood vessels, adipose tissue, fibrocollagenous tissue, cartilaginous tissue, nerve bundles, adenexal structures, and minor salivary glands. The report concludes by highlighting the rarity of lingual hamartomas, emphasizing the exceptional size and vascularity of the presented case. It stresses the necessity of considering hamartomas in the differential diagnosis of tongue lesions in pediatric patients. The definitive management approach discussed is complete surgical excision, with the importance of confirming the diagnosis through histopathological examination of the excised specimen. This case contributes valuable insights into the clinical presentation and management of non-syndromic oropharyngeal hamartomas in pediatric patients.
Abstract (English)
This case report details the presentation, investigation, management, and histopathological examination of a rare occurrence – non-syndromic oropharyngeal hamartomas in a 2-year-old child. The child presented with a substantial orofacial mass on the dorsum of the tongue, causing significant functional impairments. Notably, the mass measured 8×4 cm and protruded outside the oral cavity. Additional findings included a nodular mass at the tongue tip, a lobulated mass on the right buccal mucosa (3×4 cm), cleft palate, microphthalmus of the right eye, and an accessory pinna on the right cheek. Diagnostic investigations, including ultrasound, revealed irregular soft tissue lesions with hypochoic areas and vascular channels, indicative of hemangioma. Blood parameters were within normal limits. Due to the size and symptomatic nature of the mass, surgical intervention was planned and executed under general anesthesia with nasal intubation. The procedure involved complete dissection and excision of the masses from the tongue and buccal mucosa. The surgical site was meticulously closed in layers using 4-O vicryl. Postoperatively, the child resumed oral feeds on the third day, and the recovery period was uneventful. Histopathological examination of the excised specimen depicted a hamartomatous lesion of the tongue characterized by stratified squamous epithelial lining, admixture of blood vessels, adipose tissue, fibrocollagenous tissue, cartilaginous tissue, nerve bundles, adenexal structures, and minor salivary glands. The report concludes by highlighting the rarity of lingual hamartomas, emphasizing the exceptional size and vascularity of the presented case. It stresses the necessity of considering hamartomas in the differential diagnosis of tongue lesions in pediatric patients. The definitive management approach discussed is complete surgical excision, with the importance of confirming the diagnosis through histopathological examination of the excised specimen. This case contributes valuable insights into the clinical presentation and management of non-syndromic oropharyngeal hamartomas in pediatric patients.
Files
IJPCR,Vol16,Issue1,Article130.pdf
Files
(9.8 MB)
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Additional details
Dates
- Accepted
-
2023-12-26
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue1,Article130.pdf
- Development Status
- Active
References
- 1. Yi-Chun Carol Liu MD, Michael Shih, M. John Hicks MD, DDS, PHD, Matthew S.Sitton MD. Lingual Hamartomas 2020. 2. Vashishth A, Mathur NN, Choudhary SR, Khanna G. Giant vascular hamartoma of the tongue. Malays J Med Sci. 2014; 21(2):74-7. 3. Kreiger PA, Ernst LM, Elden LM, Kazahaya K, Alawi F, Russo PA. Hamartomatous tongue lesions in children. Am J Surg Pathol. 2007; 31(8):1186-90. 4. de Faria PR, Batista JD, Duriguetto AF Jr, Souza KC, Candelori I, Cardoso SV, et al. Giant leiomyomatous hamartoma of the tongue. J Oral Maxillofac Surg. 2008; 66(7):1476-80. 5. Stamm C, Tauber R. Hamartoma of tongue. Laryngoscope. 1945; 55(3):140-146.