Abstract
The objective of this study is to report the case of a 63-year-old dark-skinned male patient who attended the stomatology service reporting,:I feel something under my tongue." On extraoral examination, there was nothing worthy of noting. Intraoral examination showed a nodular lesion, located on the floor of the mouth on the right side, extending from canine area up to the second premolar, with a normal color and hard consistency, measuring 2.3 × 1.8 × 0.5 cm, without painful symptoms. The clinical hypothesis was sialolithiasis. A complementary imaging exam, occlusal x-ray, was requested, and a radiopacity compatible with a calcified mass was observed. After surgical removal by means of an excisional biopsy, histopathologic sections revealed fragments of amorphous eosinophilic material showing lines of concentric calcifications, confirming the clinical and imaging diagnosis of sialolithiasis. This case reinforces the importance of the stomatologist in elucidating the correct diagnosis of pathologies of salivary glands to guide conservative treatment.
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