Asymptomatic nodule on the tongue
2 Department of Dermatology, Seth G S Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India
Department of Dermatology, Government Medical College, Aurangabad, Maharashtra
|How to cite this article:
Dongre A, Khopkar U. Asymptomatic nodule on the tongue. Indian J Dermatol Venereol Leprol 2011;77:112
An 8-year-old female child presented with an asymptomatic nodular lesion of mucosal color on the dorsum of the tongue since the last 1 year. The lesion gradually increased in size since it was first noticed. There was neither history of bleeding from the lesion nor any history of trauma. Examination revealed a single, pink, sessile, firm and smooth-surfaced nodule of size 0.5 cm x 0.5 cm on the dorsum of the tongue [Figure - 1]. There was no significant lymphadenopathy in the cervical region.
|Figure 1: Pink-colored nodule on the dorsum of the tongue|
An excision biopsy of the nodule was performed. The histopathological examination showed hyperplastic epidermis and densely packed collagen fibres in the dermis [Figure - 2]. Other features seen were parakeratosis and dermal tissue containing many stellate-shaped cells in the vascular and fibrous connective tissue [Figure - 3]. Also, there were multiple multinucleated cells (marked with arrow in [Figure - 4]) with oval nuclei and abundant eosinophilic cytoplasm just beneath the hyperplastic epidermis [Figure - 4].
|Figure 2: Hyperplastic epidermis and densely packed collagen in the dermis (H and E, ×25)|
|Figure 3: Epidermal hyperplasia along with parakeratosis and stellate-shaped cells in the vascular and fibrous connective tissue in the dermis (H and E, ×200)|
|Figure 4: Multinucleated cells in the dermis (H and E, ×400)|
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