Lingual osteoma is a rare condition, with fewer than 100 cases reported. Because of its rarity, we present an additional case of lingual osteoma that occurred in a 22-year-old woman. This is the first case report, to our knowledge, of a lingual osteoma with preoperative magnetic resonance imaging (MRI) findings described. The epidemiology, clinical presentation, and underlying pathogenesis of this condition are also discussed.
A 22-year-old woman presented with a mass on the dorsum of her tongue that had remained the same size for 10 years. Aside from an intermittent “lump-in-throat” sensation, she did not report any pain or bleeding from the mass, and she had no history of dysphagia or shortness of breath. Examination showed a 1.5-cm mass to the right of the foramen cecum of the tongue. It appeared lobulated and pedunculated with a normal overlying mucosa. No cervical lymph node was palpable, and the patient was clinically euthyroid.
Lee DLY, Wong KT, Mak SM, Soo G, Tong MCF. Lingual OsteomaCase Report and Literature Review. Arch Otolaryngol Head Neck Surg. 2009;135(3):308-310. doi:10.1001/archoto.2008.553