Abstract

The choristoma is a normal tissue growth in atypical regions due to defects during embryonic development. A 6-year-old male patient reported increased tongue volume. At the intraoral clinical examination, a nodular, normochromic, sessile lesion with softened consistency was found, located on the dorsum of the tongue and with a time of evolution of 6 years. After anamnesis and clinical examination, the clinical hypotheses were granular cell tumor, neurofibroma, or benign neoplasm of the salivary gland, and an excisional biopsy was performed. Histopathologic examination revealed dense fibrous connective tissue with deposits of chondroid material surrounded by adipose tissue, being conclusive as a chondrolipomatous choristoma. The choristoma is a rare lesion and can make a differential diagnosis with several other reactive and tumoral processes, and the anatomopathologic examination is fundamental for the correct diagnosis and adequate therapeutics.

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