Abstract
Observation: A 61-year-old male patient presented with tongue and base floor of the mouth firm swelling with intact overlying mucosa with ballottement by bimanual palpation. Histopathological examination and immunodiagnosis revealed this mass as adult rhabdomyoma. Comments: Any tongue base or floor of the mouth mass with intact overlying mucosa should be approached by magnetic resonance imaging with great concern of rhabdomyoma.
Highlights
A 61-year-old male patient presented with a slowly growing intraoral swelling within several months
Surgical management was planned in form with elective tracheotomy; surgical excision of these multiple masses through combined intraoral approach and transcervical approach was performed (Fig. 1)
Weaning from tracheotomy tube started after the third day postoperatively and the patient was discharged after 5 days with monthly follow-up
Summary
A 61-year-old male patient presented with a slowly growing intraoral swelling within several months. There was a non-tender, firm mass in left side of the tongue À floor of the mouth felt in the submandibular triangle in the neck via bidigital palpation, but there was no mucosal ulceration, no cervical lymphadenopathy and no cranial nerve affection (Fig. 1). MRI (magnetic resonance imaging) was requested, which revealed multiple well-defined soft tissue masses in the tongue and floor of the mouth.
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