Smooth-surfaced Nodule on the Ventral Tongue

nodule on tongue
The following Case Challenge is provided in conjunction with the American Academy of Oral and Maxillofacial Pathology.
A four-year-old girl presented to the Dental Clinic at Seattle Children’s Hospital in Seattle, Washington, USA with a single, smooth-surfaced, well-demarcated, grayish nodule on the right side of the ventral surface of the tongue. It was described initially as small (4 X 4 mm) and fluctuant, but over a six to eight week period it progressed to a 1 X 1 cm firm mass. The overlying mucosa was distended and smooth with no evidence of ulceration.

After you have finished reviewing the available diagnostic information, make the diagnosis.