A 57-year-old Middle Eastern man presented to an outside hospital with a mass protruding from his oral cavity after multiple episodes of emesis (Figure 1). His wife said that he “vomited a second tongue.” He was previously asymptomatic, denying voice changes, respiratory complaints, dysphagia, or odynophagia. His medical history was notable only for mild gastroesophageal reflux disease. He had a 24 pack-year smoking history. He was uncomfortable but without respiratory distress. To prevent aspiration, a suture was placed in the mass and taped to his cheek. He was referred to our center for further treatment.
Bergmark R, Jung D, Vakharia K, Gray ST, Lin DT, Rosenberg AE. Pathology Quiz Case 1. Arch Otolaryngol Head Neck Surg. 2012;138(3):313. doi:10.1001/archoto.2011.1231a