Nodule of the Midline Dorsal Tongue
hosted byAmerican Medical Association (AMA)Nodule of the Midline Dorsal Tongue is organized by American Medical Association (AMA).
Published Online: June 8, 2023
Description:
A 46-year-old man presented for an evaluation of a lesion on the dorsal tongue. The patient was asymptomatic and unaware of the lesion prior to it being discovered by his dentist. He underwent incisional biopsy at another institution and presented for a second opinion on the diagnosis. Overall, he was in good health with no underlying systemic diseases. Results of the most recent serologic analysis and urinalysis were also reportedly within normal limits.
The extraoral examination was unremarkable, with no skin lesions, asymmetry, redness, swelling, or lymphadenopathy observed. The intraoral examination revealed an erythematous denuded area of the midline posterior dorsal tongue, with a central nodular component (Figure 1A). The nodule was firm to palpation and nontender. The remaining oral soft tissue was unremarkable. Because a biopsy specimen was already obtained, blank slides were requested from the aforementioned institution, and staining was performed in house.
Educational Objective:
Based on this clinical scenario and the accompanying image, understand how to arrive at a correct diagnosis.
Additional details will be posted as soon as information is available.
