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.
  1. Lingual thyroid
  2. Lingual thyroglossal cyst
  3. Lingual tonsil
  4. Hemangioma
  5. Salivary gland tumour