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Article
June 1997

Glossopharyngeal Neuralgia With Tongue Carcinoma

Author Affiliations

McMinnville, Ore

Arch Otolaryngol Head Neck Surg. 1997;123(6):658. doi:10.1001/archotol.1997.01900060110020

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Abstract

Glossopharyngeal neuralgia is an uncommon condition that has been rarely reported with a variety of malignancies in the neck. A review of MEDLINE finds no cases with glossopharyngeal neuralgia associated with mucoepidermoid carcinoma of the tongue.

A 59-year-old white woman presented with a 10-year history of severe, sudden, lancinating pain that she described in the right posterior submandibular space with radiation up to the right ear. The pain commonly lasted 15 to 30 seconds and usually was triggered with the first swallow of food or beverage. The pain was excruciating and disabling so that she was unable to continue functioning or talking or to perform any other activity during the pain, and the pain typically recurred 3 to 5 times each day.

A complete head and neck examination was normal except for a 1×1.5-cm smooth, raised, elliptiform, nonulcerated mass on the right base of her tongue. The mass was not

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