Title Page – A Tongue Granuloma Due to a Fishbone Mimicking a Neoplasm: Ultrasound-Guided Differential Diagnosis

Introduction

Fishbones are the most commonly swallowed foreign body and are found mostly in the tonsil, soft palate, tongue base, vallecula, posterior pharyngeal wall and upper esophagus. In most cases, the fishbone could be safely removed in the emergency department. Few cases showed a fishbone totally embedded in the mobile tongue presenting as an enlarged mass that was mistaken for a neoplasm due to the lack of any history of oral trauma (Wang Y et al. Oral Surgery 2008; 1: 220-222). These cases were diagnosed by incisional biopsy instead of ultrasound examination which played an important role in the diagnosis of foreign bodies in soft tissue. Here, we present one similar case that was diagnosed by ultrasound before surgery.