Black Growth on Tongue: Should You Be Concerned?

A black tumor has developed on the side of the tongue?

Hello doctor, today I noticed a black lesion on the side of my tongue (http://imgur.com/2WnW7bq).
About a month ago, I noticed that area was painful, and upon inspection, I saw a white substance.
At that time, I thought it was just inflammation or a minor abrasion.
However, I was surprised to see it has turned black today.
This area is right next to my dentures; could it be caused by continuous friction from the dentures? Should I seek an examination immediately? Thank you.

Victor, 30~39 year old female. Ask Date: 2016/01/11

Dr. Zheng Jueyi reply Otolaryngology

Hello, the darkening is often caused by minor bleeding due to friction, and it usually resolves on its own after some time.
However, if the area is bitten or continues to be raised, it is advisable to seek medical evaluation.
Wishing you safety and health.
Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/01/11

More Info

When it comes to changes in the oral cavity, particularly the appearance of a black growth on the tongue, it is essential to approach the situation with caution. The development of a black lesion on the tongue, especially one that has changed from a white appearance to black, can be indicative of several underlying issues, some of which may require immediate medical attention.

Firstly, it is important to consider the potential causes of a black lesion on the tongue. One common cause could be a condition known as "black hairy tongue," which is characterized by an overgrowth of the filiform papillae on the tongue's surface. This condition can result from poor oral hygiene, smoking, or certain medications. However, this typically does not present as a painful lesion and is more of a discoloration.

Another possibility is that the black growth could be a result of irritation or trauma, especially since you mentioned that it is located near your dentures. Continuous friction from dentures can lead to localized irritation, which may cause changes in the tissue, including hyperpigmentation. However, if the lesion has changed in color and has been painful, it raises the concern for other conditions, including oral lesions that could be precursors to more serious issues, such as oral cancer.

Oral cancer can manifest in various forms, including lesions that appear as white, red, or black patches. The fact that you have experienced pain and a change in color is significant. It is crucial to monitor for other symptoms such as difficulty swallowing, persistent sores, or changes in taste, which may accompany more serious conditions.

Given the changes you have observed, it is highly advisable to seek a professional evaluation from a dentist or an oral surgeon. They can perform a thorough examination, possibly including a biopsy of the lesion, to determine its nature. Early detection is key in managing any potential malignancies effectively, and the sooner you seek care, the better the outcome may be.

In summary, while some black lesions on the tongue may be benign, the combination of pain and color change, particularly in the context of denture use, warrants immediate attention. Do not delay in scheduling an appointment with a healthcare professional to ensure that you receive an accurate diagnosis and appropriate treatment. Your oral health is vital, and addressing any changes promptly can help prevent complications.

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