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Lingual striated muscle hamartoma or herniation?
J C Steele1, A Triantafyllou, E A Field
1Department of Oral Medicine, Liverpool University Dental Hospital and School Dentistry, Liverpool, UK.
Summary
Rare tongue lesions in a 12-year-old boy were identified as hamartomas. These benign growths of striated muscle tissue are exceptionally uncommon in this location.
Area of Science:
- Oral pathology
- Pediatric surgery
- Muscle biology
Background:
- Benign growths in the oral cavity can present unique diagnostic challenges.
- Striated muscle hamartomas are rare entities, with limited reported cases in the tongue.
Observation:
- Three grouped, small polypoid lesions were surgically removed from the right lateral border of the tongue.
- The patient was a healthy 12-year-old male.
- Histopathological examination revealed mature striated muscle fibers covered by oral epithelium and thinned lamina propria.
Findings:
- The lesions were characterized as hamartomatous growths of striated muscle.
- Alternatively, herniation of muscle through an underdeveloped lamina propria was postulated.
- These findings represent exceedingly rare clinicopathological features.
Implications:
- This case contributes to the understanding of rare oral soft tissue tumors in pediatric patients.
- Accurate clinicopathological diagnosis is crucial for appropriate management of tongue lesions.
- Further research into the etiology of striated muscle hamartomas may be warranted.