Clinical Findings

The patient presented with an enlarging mass in the tongue.  Her tongue was elevated at the primary clinical presentation (Fig 1).  There was swelling in the submental space.  On palpation, a mobile and firm mass was present in the midline floor of mouth.  The color was pink, similar to the surrounding mucosa.  There was no ulceration or purulent drainage.   The patient was not cyanotic and was able to breath through her nose.

Figure 1.    This is a clinical photograph as the patient first presented to the Children’s Hospital Dental Clinic.  Note the smooth tongue being pushed upward and outward.