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Clinicopathologic Conference| Volume 134, ISSUE 5, P505-512, November 2022

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A 33-year-old man with a rapidly growing lump on the dorsal tongue

Published:February 22, 2022DOI:https://doi.org/10.1016/j.oooo.2022.02.003
      A 33-year-old male professional singer presented to his dentist with a rapidly growing lump on his tongue in October 2019. He was a non-smoker and had no significant medical or family history. The patient was initially not aware of the presence of the lesion until he felt that he may have burnt the site with a hot meal. On examination, there was a 3 × 2 cm circumscribed, firm, broad-based and slightly fixed submucosal lump on the right posterior dorsal tongue. The lump was covered with normal appearing mucosa with a prominent network of superficial blood vessels (Figure 1). No mucosal ulceration or other lesions were detected on examination. The patient did not report any symptoms or loss of function.
      Fig 1
      Fig. 1Clinical features. (A) Frontal view of unilateral, firm, raised, broad-based submucosal lesion involving the right posterior dorsal tongue without crossing the mid-line. (B) The lump was covered with normal appearing mucosa with a prominent network of superficial blood vessels and no evidence of ulceration.
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