Clinical History
A young female patient presented to the outpatient department of a
tertiary care centre with the history of gradually increasing growth in
throat for 3 months. Because of the growth, the patient had difficulty
in swallowing and feeling of something stuck in the throat. She also
complained of irregular periods, lethargy, weight gain and loss of
appetite for the same duration of time. On examination, a growth of
approximately 3 x 2.5 cm size was present in base of tongue. The lesion
was pinkish in colour with visible vessels on surface, firm to touch
with tongue depressor (fig: 1). No ulceration was present in the growth.
Differential Diagnosis: On the basis of history and clinical
examination, following differential diagnosis were considered.
- Lingual thyroid
- Lingual thyroglossal cyst
- Lingual tonsil
- Hemangioma
- Salivary gland tumour