Dr. Syed Peerzada Tehmid Ul Haque
Otolaryngology (E.N.T)
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am a 38-year-old male, non-smoker. There is no strong history of cancer in my family. I have a lump on my tongue which has been present for approximately five weeks. It is painless, however, it has bled a couple of times, mostly in the middle of the night. I wake up and feel like I have bitten it. It is about 2 to 3 mm in diameter, round has not grown, and is smooth. The lighting in the images may vary. To me, the lump appears more pink than white. It is raised but not largely. The secondary bump that has appeared in the last few days is on the side of my tongue and looks different. It feels more like a flap of skin or skin tag and is not as well defined.
Hello,
Welcome to icliniq.com.
I understand your query and concern.
I have seen the images (attachment removed to protect the patient's identity). The lesion appears to be a simple papilloma. It is a benign lesion and can be treated by simple excision. The excised specimen can be sent for histopathological examination, which will give a confirmation of the true nature of the lesion. However, since you are complaining of bleeding from the lesion. It might be due to secondary trauma. Or the lesion might be a cryogenic granuloma or some vascular lesion. However, to the naked eye, it appears to be a papilloma.
Hope this helps.
Kind regards.
Patient's Query
Hello doctor,
Thank you.
That is what I thought too. Or possibly a fibroma (as I do bite my tongue from time to time). I have an appointment in two weeks to have it viewed by a specialist and excised. What are the signs I should watch out for that it is something more sinister? Growth, bleeding, or changing color?
Hello,
Welcome back to icliniq.com.
I understand your concern.
Yes, of course, even a fibroma. Well, given the small size of the lesion, it is least likely to cause any significant symptoms even if, in the rarest case, it proves to be adverse, given that you will be seeing a specialist in two weeks. And because of its location, it rarely produces any symptoms or signs even if it acquires a large size. Only if it ulcerates or causes neck nodes it might indicate a sinister pathology.
Hope this answers your query.
Regards.
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Otolaryngology (E.N.T)
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