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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. 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.
Myopericytomatosis. Clinicopathologic analysis of 11 cases with molecular identification of recurrent PDGFRB alterations in myopericytomatosis and myopericytoma.
Recurrent SRF-RELA fusions define a novel subset of cellular myofibroma/myopericytoma: a potential diagnostic pitfall with sarcomas with myogenic differentiation.