Growths on the Back of the Tongue: Causes and Concerns - Otolaryngology

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Granulomas on the dorsal surface of the tongue?


Hello Doctor: On the back of my tongue (underneath), there are two thicker "fleshy" areas on each side.
A few days ago, the right side of my tongue hurt when touched, and I discovered a small growth on the fleshy area near the tip of my tongue.
It's about 0.2 cm in size, flesh-colored but slightly red, and it had a white spot on top, resembling a pimple.
I thought it might be inflammation, but now it no longer hurts, and the white spot is gone.
However, the growth is still there and hasn't shrunk.
What could this be? Is it something serious like a tumor? How should I handle this? Thank you for your response, Doctor.

Xiao Shui, 20~29 year old female. Ask Date: 2010/05/13

Dr. Ye Dawei reply Otolaryngology


Dear Sir/Madam: 1.
Most are benign hyperplasia.
2.
Rare, but possible.
3.
Please visit the otolaryngology outpatient clinic for examination.
A biopsy may be necessary.
Dr.
Yeh Da-Wei, Head of Otolaryngology, Hsinchu Hospital.

Reply Date: 2010/05/13

More Info


Understanding growths on the back of the tongue can be concerning, especially when they present with symptoms such as pain or changes in appearance. Based on your description, it sounds like you may have developed a small growth or lesion on the back of your tongue, which could be a variety of things ranging from benign to more serious conditions.

Firstly, it's important to understand that the tongue is a muscular organ covered with mucous membrane, and it can develop various types of growths. These growths can be classified into several categories, including benign lesions, inflammatory conditions, and, in rare cases, malignant tumors.

1. Benign Lesions: The growth you described could be a benign lesion such as a fibroma, which is a non-cancerous growth made up of fibrous or connective tissue. Another possibility is a papilloma, which is a benign tumor caused by the human papillomavirus (HPV). These lesions often appear as small, raised bumps and can vary in color. They are typically harmless and may resolve on their own.

2. Inflammatory Conditions: The initial pain and the presence of a white spot could indicate an inflammatory condition, such as a canker sore or a localized infection. Canker sores are small, painful ulcers that can occur on the tongue and may be triggered by stress, certain foods, or other irritants. If the pain has subsided and the white spot has disappeared, it is possible that this was a transient inflammatory response.

3. Malignant Tumors: While it is natural to worry about the possibility of a tumor, it is essential to remember that most growths on the tongue are benign. However, if a growth persists, changes in size, or is accompanied by other symptoms such as difficulty swallowing, persistent pain, or changes in taste, it is crucial to seek medical evaluation. Oral cancers can present as non-healing ulcers or growths, and early detection is key to successful treatment.

Given that your growth has not changed in size and is no longer painful, it may not be a cause for immediate concern. However, it is advisable to monitor the growth closely. If it persists for more than two weeks, changes in appearance, or if you develop new symptoms, you should consult a healthcare professional, preferably an ear, nose, and throat (ENT) specialist or a dentist with experience in oral lesions. They may perform a physical examination and, if necessary, a biopsy to determine the nature of the growth.

In the meantime, maintaining good oral hygiene can help prevent further irritation. Avoiding spicy or acidic foods that may aggravate the area is also recommended. If you experience any new symptoms or if the growth changes, do not hesitate to seek medical advice.

In summary, while the growth on the back of your tongue may be benign, it is essential to keep an eye on it and consult a healthcare provider if you have any concerns. Early evaluation and diagnosis are crucial for peace of mind and appropriate management.

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