Ectomesenchymal Chondromyxoid Tumour of the Dorsal Tongue Presenting with Impaired Speech

Ectomesenchymal chondromyxoid tumours (ECTs) are rare mesenchymal soft tissue neoplasms that typically present as a slow-growing asymptomatic mass on the anterior dorsum of the tongue. Our patient presented with impaired speech articulation and pain associated with upper respiratory tract infections...

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Main Authors: Laura A. Schep, Martin J. Bullock, S. Mark Taylor
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2016/7342910
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author Laura A. Schep
Martin J. Bullock
S. Mark Taylor
author_facet Laura A. Schep
Martin J. Bullock
S. Mark Taylor
author_sort Laura A. Schep
collection DOAJ
description Ectomesenchymal chondromyxoid tumours (ECTs) are rare mesenchymal soft tissue neoplasms that typically present as a slow-growing asymptomatic mass on the anterior dorsum of the tongue. Our patient presented with impaired speech articulation and pain associated with upper respiratory tract infections when the lesion on his dorsal tongue would swell, and he would accidentally bite down on it. Microscopically, ECTs appear as unencapsulated, well-circumscribed proliferations of uniform round to fusiform cells embedded within chondromyxoid matrices. Most cases of ECT have been detected in the third to the sixth decades of life, with no sex preference. ECT may cause a range of symptoms that negatively impact patients’ quality of life, including pain, dysphagia, odynophagia, bleeding, and, in the case of our patient, impairment of speech. We provide a unique preoperative clinical photograph and case description that should help readers in recognizing this neoplasm. Considering the rarity of ECT presenting clinically as well as in the literature, we believe this report will add to our growing understanding of ECT and its management. We report a case of ECT presenting on the anterior dorsal tongue that was successfully surgically resected under local anesthesia with clear margins, accompanied by a review of the pertinent literature.
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spelling doaj-art-6e53c30ebdbc4bc59859f53542e8ce532025-08-20T03:33:56ZengWileyCase Reports in Otolaryngology2090-67652090-67732016-01-01201610.1155/2016/73429107342910Ectomesenchymal Chondromyxoid Tumour of the Dorsal Tongue Presenting with Impaired SpeechLaura A. Schep0Martin J. Bullock1S. Mark Taylor2Faculty of Medicine, Dalhousie University, 6299 South Street, Halifax, NS, B3H 4R2, CanadaFaculty of Medicine, Dalhousie University, 6299 South Street, Halifax, NS, B3H 4R2, CanadaFaculty of Medicine, Dalhousie University, 6299 South Street, Halifax, NS, B3H 4R2, CanadaEctomesenchymal chondromyxoid tumours (ECTs) are rare mesenchymal soft tissue neoplasms that typically present as a slow-growing asymptomatic mass on the anterior dorsum of the tongue. Our patient presented with impaired speech articulation and pain associated with upper respiratory tract infections when the lesion on his dorsal tongue would swell, and he would accidentally bite down on it. Microscopically, ECTs appear as unencapsulated, well-circumscribed proliferations of uniform round to fusiform cells embedded within chondromyxoid matrices. Most cases of ECT have been detected in the third to the sixth decades of life, with no sex preference. ECT may cause a range of symptoms that negatively impact patients’ quality of life, including pain, dysphagia, odynophagia, bleeding, and, in the case of our patient, impairment of speech. We provide a unique preoperative clinical photograph and case description that should help readers in recognizing this neoplasm. Considering the rarity of ECT presenting clinically as well as in the literature, we believe this report will add to our growing understanding of ECT and its management. We report a case of ECT presenting on the anterior dorsal tongue that was successfully surgically resected under local anesthesia with clear margins, accompanied by a review of the pertinent literature.http://dx.doi.org/10.1155/2016/7342910
spellingShingle Laura A. Schep
Martin J. Bullock
S. Mark Taylor
Ectomesenchymal Chondromyxoid Tumour of the Dorsal Tongue Presenting with Impaired Speech
Case Reports in Otolaryngology
title Ectomesenchymal Chondromyxoid Tumour of the Dorsal Tongue Presenting with Impaired Speech
title_full Ectomesenchymal Chondromyxoid Tumour of the Dorsal Tongue Presenting with Impaired Speech
title_fullStr Ectomesenchymal Chondromyxoid Tumour of the Dorsal Tongue Presenting with Impaired Speech
title_full_unstemmed Ectomesenchymal Chondromyxoid Tumour of the Dorsal Tongue Presenting with Impaired Speech
title_short Ectomesenchymal Chondromyxoid Tumour of the Dorsal Tongue Presenting with Impaired Speech
title_sort ectomesenchymal chondromyxoid tumour of the dorsal tongue presenting with impaired speech
url http://dx.doi.org/10.1155/2016/7342910
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