Corliano, Fabrizio
(Department of Otorhinolaryngology, University of Siena)
,
Falco, Paola
(Department of Otorhinolaryngology, University of Siena)
,
Cambi, Jacopo
(Department of Otorhinolaryngology, University of Siena)
,
Brindisi, Leopoldo
(Department of Otorhinolaryngology, University of Siena)
The detection of foreign bodies in the upper-aerodigestive tract is a fairly frequent event and can occur in various areas and for various reasons. In rare cases, foreign bodies can simulate a neoplasia. We evaluated similar cases during emergency regimen with an oral cavity mucosal lesion, causing ...
The detection of foreign bodies in the upper-aerodigestive tract is a fairly frequent event and can occur in various areas and for various reasons. In rare cases, foreign bodies can simulate a neoplasia. We evaluated similar cases during emergency regimen with an oral cavity mucosal lesion, causing lockjaw, sore throat, dysphagia, and swelling of the submandibular and laterocervical region. Physical examination revealed an extensive mucosal ulceration in the floor of the mouth and the lateral surface of the tongue, comparable to oral cancer. During a second, more accurate assessment, a partially deteriorated iron supplement tablet was found embedded in a mucosal pocket. After removing the tablet, gradual normalization of the tissue was observed without any sequelae. This is one of the many reasons why it is advisable and useful in cases of oral lesions to collect a detailed medical history and to perform an accurate clinical evaluation, including inspection and palpation of the lesion, before proceeding to further diagnostic assessments, especially in elderly patients taking many medications. However unlikely, it is possible that difficulty in swallowing pills or tablets could generate tumorlike lesions.
The detection of foreign bodies in the upper-aerodigestive tract is a fairly frequent event and can occur in various areas and for various reasons. In rare cases, foreign bodies can simulate a neoplasia. We evaluated similar cases during emergency regimen with an oral cavity mucosal lesion, causing lockjaw, sore throat, dysphagia, and swelling of the submandibular and laterocervical region. Physical examination revealed an extensive mucosal ulceration in the floor of the mouth and the lateral surface of the tongue, comparable to oral cancer. During a second, more accurate assessment, a partially deteriorated iron supplement tablet was found embedded in a mucosal pocket. After removing the tablet, gradual normalization of the tissue was observed without any sequelae. This is one of the many reasons why it is advisable and useful in cases of oral lesions to collect a detailed medical history and to perform an accurate clinical evaluation, including inspection and palpation of the lesion, before proceeding to further diagnostic assessments, especially in elderly patients taking many medications. However unlikely, it is possible that difficulty in swallowing pills or tablets could generate tumorlike lesions.
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제안 방법
The patient’s presenting symptoms could include: oral pain, signs of local inflammation, painful swallowing, or a purulent discharge8. This paper describes a patient, treated for an iron deficiency anemia, with an ulcerative lesion similar to a squamous cell carcinoma of the oral cavity, but that was later identified as an inflammatory reaction to a tablet trapped in the floor of the mouth for multiple days.
대상 데이터
An 83-year-old Caucasian woman was referred to the ENT (ear, nose, and throat) department from the emergency room, complaining of lockjaw, sore throat, dysphagia for three days, and a burning pain in the mouth.
참고문헌 (15)
1 Abraham SC Yardley JH Wu TT Erosive injury to the upper gastrointestinal tract in patients receiving iron medication: an underrecognized entity Am J Surg Pathol 1999 23 1241 1247 10524525
3 Evrard C Coffin O Kaladji C Brun J Benard Y Doumert J Massive hemoptysis ten days after bronchial extraction of an accidentally inhaled tablet of ferrous sulfate Ann Chir 1991 45 726 728 1768033
4 Godden DJ Kerr KM Watt SJ Legge JS Iron lung: bronchoscopic and pathological consequences of aspiration of ferrous sulphate Thorax 1991 46 142 143 2014497
10 Sathish R Suhas S Gayathri G Ravikumar G Chandrashekar L Omprakash TL Embedded toothbrush foreign body in cheek: report of an unusual case Eur Arch Paediatr Dent 2011 12 272 274 21993069
11 McKinney RV Jr Brady GL Singh BB Metallic foreign body embedded in the cheek for 20 years J Am Dent Assoc 1981 102 331 333 7007469
12 Seikaly H Rassekh CH Oropharyngeal cancer Bailey BJ Johnson JT Newlands SD Head and neck surgery: otolaryngology 4th ed Philadelphia Lippincott Williams & Wilkins 2006 1674 1690
13 Kwon JI Kim HW Nam W Cha IH Kim HJ Traumatic ulcerative granuloma misjudged as oral squamous cell carcinoma (SCC) on the buccal cheek: case report J Korean Assoc Oral Maxillofac Surg 2010 36 217 220
14 Khan S Agwani K Bhargava P Kumar SP Adenoid cystic carcinoma presenting as an ulcer on the floor of the mouth: a rare case report J Korean Assoc Oral Maxillofac Surg 2014 40 253 257 25368840
15 Aruoma OI Halliwell B Superoxide-dependent and ascorbate-dependent formation of hydroxyl radicals from hydrogen peroxide in the presence of iron. Are lactoferrin and transferrin promoters of hydroxyl-radical generation? Biochem J 1987 241 273 278 3032157
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