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Case Challenge 37 - Thumbnail main

Smooth-surfaced Nodule on the Ventral Tongue


Mark Egbert, DDS; Ryan Gibson, DDS; Shradha Bansal, DDS; Dolphine Oda, BDS, MSC


The following Case Challenge is provided in conjunction with the American Academy of Oral and Maxillofacial Pathology.

A four-year-old girl presented to the Dental Clinic at Seattle Children’s Hospital in Seattle, Washington, USA with a single, smooth-surfaced, well-demarcated, grayish nodule on the right side of the ventral surface of the tongue. It was described initially as small (4 X 4 mm) and fluctuant, but over a six to eight week period it progressed to a 1 X 1 cm firm mass. The overlying mucosa was distended and smooth with no evidence of ulceration.

After you have finished reviewing the available diagnostic information, make the diagnosis.

Case Author(s)

Dr. Egbert is an Associate Professor in the Department of Oral and Maxillofacial Surgery of the School of Dentistry at the University of Washington in Seattle, WA, USA. He also serves as the Chief of Pediatric Oral and Maxillofacial Surgery ...

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