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Clinical Challenge
May 23, 2019

An Exophytic Dorsolateral Tongue Mass in a Young Patient

Author Affiliations
  • 1Head and Neck Institute, Cleveland Clinic, Cleveland, Ohio
  • 2Department of Pathology, Cleveland Clinic, Cleveland, Ohio
JAMA Otolaryngol Head Neck Surg. Published online May 23, 2019. doi:10.1001/jamaoto.2019.0935

A young woman presented with a 1-year history of a right tongue mass that developed after initial bite trauma. The lesion waxed and waned but never completely healed; however, it greatly increased in size over 3 weeks before presentation. She reported constant, severe stabbing pain, right otalgia, and occasional swelling that caused oral dysphagia. She reported no constitutional symptoms or any history of tobacco or alcohol use. On examination, the mass was a 3 × 2-cm, exophytic and raised, plateaulike lesion on the right dorsolateral tongue with approximately 1 to 2 cm of surrounding induration (Figure, A).