摘要：

临床实践中，因口腔异物就诊的患者较为常见，但异物通常位于食管、牙龈及咽部。舌部异物相对少见，由异物引发的周围组织炎症性包块更为少见，且其影像学表现易与肿瘤混淆，容易导致误诊。本文报道1例鱼刺导致形似肿瘤的舌背部包块病例，并结合文献对其诊断、鉴别诊断及治疗进行探讨，旨在提高医务人员对此类病变的认识，减少临床误诊。

关键词: 舌部异物, 鱼刺, 炎性包块, 鉴别诊断, 误诊

Abstract:

In clinical practice, patients often present with oral foreign bodies, but these are typically located in the esophagus, gingiva, and pharynx. Foreign bodies in the tongue are relatively rare, and inflammatory masses caused by foreign body-induced surrounding tissue inflammation are even rarer. Moreover, their imaging findings can be easily confused with neoplasms, leading to misdiagnosis. This article reports a case of a tumor-like mass on the dorsal tongue caused by a fishbone. In combination with relevant literature, its diagnosis, differential diagnosis, and treatment are discussed to enhance clinicians' understanding of such lesions and reduce misdiagnosis.

Key words: tongue foreign body, fishbone, inflammatory mass, differential diagnosis, misdiagnosis

中图分类号: 

• 舌部异物

• 鱼刺

• 炎性包块

• 鉴别诊断

• 误诊

• tongue foreign body

• fishbone

• inflammatory mass

• differential diagnosis

• misdiagnosis