Abstract
A 32-year-old woman presented with difficulty in swallowing and swelling of the tongue. A fistula was seen on the dorsum of the tongue. As T2-weighted magnetic resonance imaging showed a high signal intensity lesion with poorly defined margins, a provisional diagnosis of tongue lipoma or angiomyolipoma was made. The lesion was surgically removed including the fistula. Sebaceous glands were seen in the epithelial lining on histopathological analysis, which suggested a dermoid cyst. The patient's postoperative course was satisfactory, and no recurrence has been observed during 18 months of follow-up after surgery.
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