A 42-year-old woman presented with a 30-year history of a slow-growing asymptomatic lesion on the dorsum of her tongue. She had no relevant history of trauma, and her medical history was unremarkable.
Intraoral examination revealed a 2 × 1-cm firm nodule involving the middle third of the dorsal aspect of the tongue (Figure 1). No changes in color or texture of the covering mucosa were observed. Cervical lymph nodes were not palpable. The lesion was completely excised for histologic evaluation (Figure 2 and Figure 3). The surgical specimen consisted of a well-demarcated submucosal nodule, with no visible alteration in the surrounding muscle.
Mataix J, Botella R, Bañuls J, Guijarro J, Pastor N, Betlloch I. Asymptomatic Nodule of the Tongue—Case. Arch Dermatol. 2007;143(5):653-658. doi:10.1001/archderm.143.5.653-b