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Clinical Problem Solving: Pathology
November 2001

Pathology Quiz Case 2

Author Affiliations
 

FREDERIC B.ASKINMDWILLIAM H.WESTRAMD

Arch Otolaryngol Head Neck Surg. 2001;127(11):1391. doi:

A 9-YEAR-OLD GIRL in good health presented to the ear, nose, and throat clinic with a complaint of swelling, which was limited to the floor of her mouth, causing slight difficulty in chewing and speech. The patient had no complaints of pain and, clinically, there was no inflammation. Her parents had noticed the lesion approximately 6 months earlier, and it had progressed slowly since then.

On palpation, the well-defined sublingual mass had a soft consistency. It appeared to be cystic in nature. When palpated bimanually, the mass could be compressed inferiorly to the submental area, and when the patient swallowed, the mass did not move in conjunction with the hyoid bone. Salivary flow was normal and clear, and the submandibular and sublingual glands were not tender to palpation. The cranial nerve examination revealed no abnormalities.

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