A 6-WEEK-OLD girl with no other medical problems was brought to the otolaryngology clinic for a mass on her tongue causing mild difficulty in feeding. A history of neonatal meconium delivery was reported for which the child was hospitalized for a week. During the hospitalization, she was noted to have a whitish, scooped-out lesion on the dorsum of the tongue in the same area as her current lesion; this was felt to be a fungal infection and was treated with antifungals. The tumor had grown in the area from the time of birth to the time of presentation. There were no associated respiratory problems.
Examination revealed a bilobed, pale, 2 × 1-cm mass on the midline dorsum of the tongue, centrally located (Figure 1). This was firm and rubbery in texture and had no obvious tenderness. Findings from the remainder of the head and neck examination were normal. Intraoperative biopsy findings are shown in Figure 2.
Sheth SN, Gomez C, Josephson GD. Pathological Case of the Month. Arch Pediatr Adolesc Med. 2001;155(9):1065–1066. doi:10.1001/archpedi.155.9.1065