Abstract
A 4-year-old female patient attended the outpatient clinic with the main presentation of a "tongue ball" with unknown evolution. Intraoral examination presented a single nodule in the region of the posterior third of the tongue, sometimes appearing to be pink and sometimes whitish, sessile base, flaccid upon palpation, with well-defined borders and painless. With the hypothesis of an ectomesenchymal chondromyxoid tumor and lingual thyroid, a thyroid region ultrasound scan was requested, which was within normal standards, discarding the second hypothesis. Excisional biopsy under general anesthesia and histopathologic examination were performed, which revealed a predominance of smooth muscle, adipose tissue, and blood vessel formation, compatible with hamartoma. Hamartoma manifests as a proliferation of normal tissues endogenous to the site, common in early childhood, with a predilection for the female sex, often in the posterior region of the back of the tongue and asymptomatic nodules.
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