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American Journal of Neuroradiology 27:2202-2203, November-December 2006
© 2006 American Society of Neuroradiology

Case Report
HEAD & NECK

Tongue Abscess Mimicking Neoplasia

H.J. Kima, B.J. Leeb, S.J. Kimc, W.-Y. Shimd, S.K. Baike and M. Sunwoof

a Department of Radiology & Medical Research Institute, Pusan National University College of Medicine, Pusan, Korea
b Department of Otorhinolaryngology, Pusan National University College of Medicine, Pusan, Korea
c Department of Nuclear Medicine, Pusan National University College of Medicine, Pusan, Korea
d SWY ENT Clinic, Pusan, Korea
e Department of Radiology, Kyungpook National University College of Medicine, Taegu, Korea
f Department of Radiology, Wallace Memorial Baptist Hospital, Pusan, Korea

Address correspondence to Byung Joo Lee, MD, The Department of Otorhinolaryngology, Pusan National University Hospital, 10, 1-Ga, Ami-Dong, Seo-Ku, Pusan, 602-739, South Korea; e-mail: voicelee{at}pusan.ac.kr

SUMMARY: Tongue abscess is a very rare condition about which only sparse imaging findings have been reported. In 2 patients, a submucosal malignant tumor was suspected because of the presence of a painful hard tongue mass with intact mucosal surface. Differential diagnosis of the tongue abscess or malignancy was difficult on MR imaging or positron emission tomography-CT. In careful retrospective history taking, the symptoms had dated from an episode of eating fish several months before presentation. Plain radiographs and noncontrast CT images of the pharynx revealed a foreign body within the lesion. Thus, we present the imaging findings of 2 cases of malignancy mimicking tongue abscess as a result of impaction of a fish bone.






Copyright © 2009 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X