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Postgraduate Medical Journal 2003;79:419-420
© 2003 Fellowship of Postgraduate Medicine


SELF ASSESSMENT QUESTION

Oral pathology

A misleading swelling of the tongue

D Simon 1, T Somanathan 2, M Pandey 1

1 Department of Surgical Oncology , Regional Cancer Centre, Trivandrum, India
2 Department of Pathology

Correspondence to:
Correspondence to:
Dr Manoj Pandey, Department of Surgical Oncology, Regional Cancer Centre, Medical College PO, Thiruvananthapuram, Kerala 695011, India;
manojpandey@rcctvm.org/mpandey@hclinfinet.com

Submitted 9 August 2002
Accepted 21 October 2002


Answers on p 424.

Keywords: tongue; oral cavity; granuloma; sarcoidosis

The first 150 words of the full text of this article appear below.

A 41 year old Indian man presented with a swelling on the tip of the tongue of six months’ duration. He reported having irregular sharp teeth that caused repeated ulceration on the tongue, for which he had earlier sought orthodontic therapy. Intraoral examination revealed a 2 x 2 cm hard multilobulated swelling, exhibiting a smooth mucosal surface, situated at the tip of the oral tongue (fig 1Go). Cervical lymphadenopathy was absent. Systemic examination was normal. The haematological and biochemical parameters failed to reveal any abnormality and the chest radiograph was normal. A wide excision of the lesion with primary closure was carried out.


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Figure 1 Clinical photograph showing submucosal swelling at the tip of the tongue.

 
On gross examination, the specimen measured 2.5 x 2.5 x 1.5 cm and was covered with mucosa showing an irregular grey-white area measuring 1.5 x 1 cm extending close to deeper margin of . . . [Full text of this article]


Relevant Article

A misleading swelling of the tongue
Postgrad. Med. J. 2003 79: 424. [Extract] [Full Text] [PDF]






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