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A Painless Mass on the Tongue of a Young Man
R. Gauchía Moreno;
M. Rodríguez-Serna;
J. F. Silvestre;
M. I. Alba;
A. Aliaga
Hospital General de Valencia, Valencia (Drs Gauchía Moreno, Rodríguez-Serna, Silvestre, and Aliaga), and Hospital General de Castellón, Castellón (Dr Alba), Spain
Arch Dermatol. 1999;135:593-598.
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REPORT OF A CASE
A 33-year-old healthy man presented with a 1-year history of a painless, slowly enlarging mass on his tongue. Physical examination showed a firm, 2 x 3-cm nodular lesion in the middle of the tongue, covered by apparently normal mucosa (Figure 1). A biopsy specimen was obtained from the lesion; hematoxylin-eosin (Figure 2) and periodic acid–Schiff (Figure 3) stains were performed.
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Figure 1.
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Figure 2.
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Figure 3.
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What is your diagnosis?
A Painless Mass on the Tongue of a Young Man
Microscopic examination revealed the presence of acanthosis and interdigitation of elongated rete ridges with extended connective tissue papillae. A dense chronic inflammatory infiltrate was present in the dermis. There was exocytosis of polymorphonuclear cells into the epithelium, with the formation of microabscesses (Figure 2). A periodic acid–Schiff stain showed several intraepithelial yeast forms with pseudohyphae corresponding to Candida albicans . . . [Full Text of this Article]
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