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Breakthrough Clinical oral pathology case: No. 23

Jan. 30, 2017
Upon performing a head, neck, and oral cancer screening exam on an 8-year-old female during a routine recare appointment, Dr. Stacey Simmons, Breakthrough Clinical’s editorial director, discovered a lesion under the left side of the tongue along the sublingual salivary gland ducts. Read about the case history and details of the lesion to offer your differentials and treatment for the patient.
Stacey L. Simmons, DDS, Editorial Director of DE's Breakthrough Clinical e-newsletter

This article first appeared in the newsletter, DE's Breakthrough Clinical with Stacey Simmons, DDS. Subscribe here.

A healthy 8-year-old female presents to the office for a routine recare exam. Neither she nor her mom had any concerns.

While performing the head, neck, and oral cancer screening exam, a raised, round soft-tissue lesion approximately 6 mm x 6 mm was observed under the left side of the tongue, along the sublingual salivary gland ducts. The outside border was red and contained a white center. The lesion and area in general were not tender to palpation, and both mom and patient were unaware of its presence. There was no recollection of trauma to the area.

With this information, what are your differentials, recommendations, and follow-up for this patient?

Send your answers to [email protected] or join our Facebook group to discuss this oral pathology case and more.

This article first appeared in the newsletter, DE's Breakthrough Clinical with Stacey Simmons, DDS. Subscribe here.

For more pathology articles, click here.

Do you have an interesting oral pathology case you would like to share with Breakthrough’s readers? If so, submit a clinical radiograph or high-resolution photograph, a patient history, diagnosis, and treatment rendered to: [email protected]. We will let you know if we select your case!

Stacey L. Simmons, DDS, is in private practice in Hamilton, Montana. She is a graduate of Marquette University School of Dentistry. Dr. Simmons is a guest lecturer at the University of Montana in the Anatomy and Physiology Department. She is the editorial director of PennWell’s clinical dental specialties newsletter, DE’s Breakthrough Clinical with Stacey Simmons, DDS, and a contributing author for DentistryIQ, Perio-Implant Advisory, and Dental Economics. Dr. Simmons can be reached at [email protected].

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