Clinical and Radiographic Findings

In August 2008, the patient presented with an exophytic lobular mass on the right lateral border of tongue, which was excised. It recurred in January 2010 (Figure 1) and was excised again in April 2010. The lesion persisted after the second surgery and was reported to be painful. A mandibular mouth guard was fabricated; however, due to the large size of the lesion, the mouth guard did little to prevent occlusal trauma. This lesion was excised in June 2010 for a third time under general anesthesia.

Figure 1 This photograph demonstrates an exophytic, lobular and pink to red and focally ulcerated mass on the right lateral and ventral surfaces of tongue.