A large pedunculated nodule in the tongue in a 52-year-old male

Abstract

A 52-year-old male who was physically well-developed and well-nourished presented to the oral and maxillofacial department at Kyung Hee University Medical Center (Seoul, Republic of Korea) with a slow-growing exophytic mass. The patient could not recall when he first noticed the mass. The mass was asymptomatic and located in the anterior dorsum of the tongue; it was described as movable, nontender, nonulcerated, and smooth (Figure 1). T1–weighted magnetic resonance imaging (MRI) was performed to examine the extent of the lesion, and it revealed a 5.7 × 3.4 mm, noninvasive, pedunculated, isolated soft tissue mass (Figure 2). Carotid angiography was also performed (see Figure 2). On the basis of the findings from the imaging examinations, malignancies and vascular tumors were excluded as potential diagnoses before treatment. Fig. 2T2-weighted magnetic resonance imaging and carotid angiography. View Large Image Figure Viewer Download Hi-res image