CIRCUMSCRIBED SOLITARY NEUROMA AFFECTING TONGUE IN A PEDIATRIC PATIENT: A RARE CASE REPORT AND LITERATURE REVIEW

Abstract

A 12-year-old male patient was referred to the clinic with the main complaint of “tongue wart,” with an evolution time of 2 years. In the intraoral examination, a pedicle nodule on the posterior of the tongue approximately 0.5 cm in diameter, asymptomatic, and an intact lining mucosa were observed. The diagnostic hypotheses were fibrous hyperplasia, lipoma, neuroma, granular cell tumor, or other benign neoplasm. Excisional biopsy was performed, and microscopic examination showed a well-circumscribed nodular proliferation in the form of interwoven bundles of spindle cells, compatible with circumscribed solitary neuroma (CSN). A literature review was carried out regarding this lesion in the oral cavity and 71 reported cases were found. However, the present case is the first to report CSN in a pediatric patient. It was concluded that CSN should be included as a differential diagnosis of nodular lesions that affect pediatric patients. A 12-year-old male patient was referred to the clinic with the main complaint of “tongue wart,” with an evolution time of 2 years. In the intraoral examination, a pedicle nodule on the posterior of the tongue approximately 0.5 cm in diameter, asymptomatic, and an intact lining mucosa were observed. The diagnostic hypotheses were fibrous hyperplasia, lipoma, neuroma, granular cell tumor, or other benign neoplasm. Excisional biopsy was performed, and microscopic examination showed a well-circumscribed nodular proliferation in the form of interwoven bundles of spindle cells, compatible with circumscribed solitary neuroma (CSN). A literature review was carried out regarding this lesion in the oral cavity and 71 reported cases were found. However, the present case is the first to report CSN in a pediatric patient. It was concluded that CSN should be included as a differential diagnosis of nodular lesions that affect pediatric patients.