Tongue

Question 1

Tongue lesions….

Answer 1

Irritation Fibroma
Squamous Cell Carcinoma
Mucocele
Granular Cell Tumor
Hemangioma/Neurofibroma
Oral Lymphangioma
Pyogenic Granuloma
Lingual Thyroid
Mucoepidermoid Carcinoma
Glossitis
Transient Lingual Papillitis
Molluscum Contagiosum

Question 2

Glossitis

Answer 2

Redness due to thinning of oral mucosa
Generalized erythema to dorsal aspect of the tongue, may appear normal
as well
Burning sensation on tongue
Wide range of causes: Anemia, fungal infections (Candidiasis), Vitamin B
Deficiency, xerostomia, allergies, diabetes, hypothyroidism
TX: Proper diagnosis and then resolution for underlying issue

Question 3

Transient Lingual Papillitis

Answer 3

Inflamed fungiform papillae
Take on papulo-keratic form
Painful

Question 4

Traumatic Injury

Answer 4

Typical involves trauma to the tongue, tongue laceration and/or submucosal hemorrhage
Localized trauma with localized or diffuse swelling
Extensive bleeding can occur due to intensely vascular network
Severe trauma of laceration can take 4-6 weeks to heal

Question 5

Uncommon Tongue Swellings

Answer 5

Irritation Fibroma
Pyogenic Granuloma
Mucocele of Blanin-Nuhn
Entrapped foreign body
Giant Cell Fibroma

Question 6

Rare Tongue Swellings

Answer 6

Vascular Malformation
Hemangioma
Amyloid
Lymphatic Malformation
Granular Cell Tumor
◦ Benign neoplasm of Schwann Cells
◦ Dorsal tongue is most common oral site
◦ Pale, smooth or stippled nodule
◦ TX: Excisional biopsy