CASE

A 40-year-old female found a small but growing red lump under her tongue (see Figure 1). She did not smoke tobacco or drink alcohol, nor did she have a history of doing so.

The lesion was a nonblanchable, 3-mm, elevated papule on the left ventral surface of the tongue. Manipulation did not elicit pain. Near the lesion was a malpositioned lower premolar. No anterior or posterior adenopathy was observed. Because malignancy could not be ruled out, the patient was referred to an oral maxillofacial surgeon for further evaluation and possible biopsy.













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