case_images: PMC7671806_01
case_images: Presence of a free, well-defined, rounded nodule, with the tongue showing normal color and an enlarged aspect in the central region on visual clinical examination.
case_images: CRID2020-8838250.001.jpg
case_images: PMC7671806_01_CRID2020-8838250.001.jpg
case_images: fig1
case_images: On visual and palpatory clinical examination, a free and well-defined rounded nodule was found, with the tongue showing normal color, but with an enlarged aspect in the central region (Figure 1).
case_images: Ultrasonography showing a circumscribed nodular lesion. The echographic aspect was suggestive of a foreign body inside, suggesting an image compatible with a thorn, with granuloma formation.
case_images: CRID2020-8838250.002.jpg
case_images: PMC7671806_01_CRID2020-8838250.002.jpg
case_images: fig2
case_images: The echographic aspect suggested a foreign body inside, showing an image compatible with a spine, with granuloma formation (Figure 2).
case_images: Surgical access performed through a linear incision in the lingual dorsum on the left side, close to the most superficial region of the lesion.
case_images: CRID2020-8838250.003.jpg
case_images: PMC7671806_01_CRID2020-8838250.003.jpg
case_images: fig3
case_images: Surgical access was performed through a linear incision in the lingual dorsum on the left side, close to the most superficial region of the lesion (Figure 3).
case_images: Divulsion of the lesion, using blunt-tip instruments, from the adjacent tissue planes, having been cleaved without the rupture of its evident lining capsule.
case_images: CRID2020-8838250.004.jpg
case_images: PMC7671806_01_CRID2020-8838250.004.jpg
case_images: fig4
case_images: The lesion was divulsed, using blunt-tipped instruments, from the adjacent tissue planes, having been cleaved without the rupture of its evident lining capsule (Figure 4).
case_images: Histopathological examination showing a fragment of a fibrous tissue nodule well delimited by means of a capsule, with thick collagen fibers richly peripherally vascularized and with sparse chronic inflammatory cells, in addition to numerous macrophages that stand out in the midst of immune-inflammatory cells: (a) 50x magnification: the full black arrows represent the outer limit of the fibrous capsule, and the black asterisks represent the peripheral vascular congestion; (b) 100x magnification: the full black arrows represent the bundles of collagen fibers; (c) 200x magnification: the black asterisk represents the chronic inflammatory infiltrate; (d) 400x magnification: the full black arrows represent numerous macrophages in the middle of the chronic inflammatory infiltrate.
case_images: CRID2020-8838250.005.jpg
case_images: PMC7671806_01_CRID2020-8838250.005.jpg
case_images: fig5
case_images: After total enucleation without compromising the capsule (Figure 5), the synthesis was performed both in deep muscle planes and on the epithelial surface using simple isolated points.
case_images: Total enucleation without compromising the capsule.
case_images: CRID2020-8838250.006.jpg
case_images: PMC7671806_01_CRID2020-8838250.006.jpg
case_images: fig6
case_images: Histopathological examination revealed a nodule of fibrous tissue well delimited by means of a capsule, with thick collagen fibers richly peripherally vascularized and with sparse chronic inflammatory cells, in addition to numerous macrophages that stand out in the midst of immunoinflammatory cells (Figure 6).