B. ASKINFREDERICMDH. WESTRAWILLIAMMD
AN 8-YEAR-OLD boy presented with a lesion on the midline dorsal aspect of his tongue that had slowly enlarged since birth. He had no history of trauma to the region. The lesion was nontender, but it occasionally bled during oral intake or as a result of contact with his teeth. Physical examination revealed a 1 × 1-cm, indurated, pink, raised, nontender midline dorsal tongue mass (Figure 1). The findings of the rest of the head and neck examination were unremarkable. The mass did not appear to extend into the musculature of the tongue on magnetic resonance imaging scans, and there was no cervical adenopathy or thyroid lesions. The results of thyroid function studies were normal.
Maghami EG, Shapiro NL, Nelson S. Quiz Case 1. Arch Otolaryngol Head Neck Surg. 2000;126(5):676-680. doi:10.1001/archotol.126.5.676