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Clinical Note |

Lingual Osteoma:  Case Report and Literature Review

Dennis L. Y. Lee, FRCS; K. T. Wong, FRCR; S. M. Mak, MBChB; Gordon Soo, FRCS; Michael C. F. Tong, MD
Arch Otolaryngol Head Neck Surg. 2009;135(3):308-310. doi:10.1001/archoto.2008.553.
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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.

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osteoma ; tongue

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Figure 1.

Submucosal mass (arrows) on the dorsum of the tongue in a 22-year-old woman. A, T2-weighted axial image shows a well-circumscribed low-signal-intensity superficial submucosal mass on the right side of the tongue. Axial (B) and sagittal (C) postgadolinium T1-weighted images with fat suppression technique show no enhancement, and the lesion shows remarkably low signal intensity.

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Figure 2.

Low-power microscopic magnification of the lesion. The lesion is composed of mature laminated bone and underlying normal stratified squamous epithelium (hematoxylin-eosin, original magnification ×40).

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