A Painless Bulky Lesion of the Tongue

A 4-year-old girl came to our attention with a tongue lesion, which had been present for 3 months; the lesion was variably sized, asymptomatic, and causing discomfort while speaking and eating. There was no previous trauma. A large, exophytic, translucent, fleshy, nontender mass was on the right hemilingual ventral surface with mucous "spillage" (Figure). The cervical lymph nodes were not enlarged, and tongue movements were not impaired. Differential diagnosis of a swelling of the tongue includes mucocele, lymphangioma, dermoid-epidermoid cyst, thyroglossal duct cyst, lingual thyroid, foregut duplication cyst, hemangioma, neurofibroma, lipoma, and mucoepidermoid carcinoma.

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