PMC5573474_01
Clinical photograph of the lesion on the dorsal surface of the tongue.
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Intraoral examination revealed a swelling on the dorsal part of the tongue, approximately 1.5 x 1.5 cm in size, with numerous papillary and vesicle-like projections resulting in a granular and transparent appearance (Figure 1).
The tongue after excision of the lesion.
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The patient was advised to undergo surgical excision of the lesion, and excisional biopsy of the lesion including 2 mm margins of healthy tissue was performed using local anesthesia (Figure 2, (Figure 3).
The appearance of the excised lesion.
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The patient was advised to undergo surgical excision of the lesion, and excisional biopsy of the lesion including 2 mm margins of healthy tissue was performed using local anesthesia (Figure 2, (Figure 3).
One week after the operation and closure of the wound.
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One week after the postoperative  examination revealed that wound healing was normal (Figure 4).
The appearance of the tongue 1 year after the operation.
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The patient was followed up regularly, and no signs of recurrence were present 1 year after the surgery (Figure 5).
Histological appearance of the enlarged lymphatic vessels under the surface epithelium (H and E, x100).
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Histopathological examination revealed that the lesion was covered by stratified squamous epithelium with parakeratosis, spongiosis, and papillomatosis (Figure 6).