PMC10068005_01
Growth on the left lateral border of the tongue
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F1
Clinical intraoral examination revealed a well-defined, pedunculated, single, and ovoid growth of normal mucosal color present on the left lateral border of the tongue (Fig. 1).
Laser tip in contact with the tissue causing ablation
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F2
After performing selective grinding of the cusps, the lesion was completely excised from its base using a soft tissue diode laser (Biolase laser, California, United States of America) in pulsed mode with a continuous wavelength of 940 nm, a power of 2 W, and with a surgical tip off 300 micro diameter causing ablation (Fig. 2).
Surgical site after excision of the lesion
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F3
Total excision of the lesion was done by taking 1 mm of the tissue beyond the lesion as compared to the neighboring tissue (Fig. 3).
PMC10068005_02
Surgically removed lesion using laser
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F4
The sample was placed in a container with 10% formalin solution and sent for histopathological analysis right away (Fig. 4).
Histopathology (H/P) showed hyperparakeratinized epithelium
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F5
Histological examination revealed that the epithelium was predominantly hyperparakeratinized, atrophic, and hyperplastic (Figs 5 and 6). Numerous dilated and congested capillaries of variable sizes and focal aggregates of moderate to dense chronic inflammatory cell infiltrate are evident subepithelial (Fig. 5).
H/P showed dense collagen fibers
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F6
Histological examination revealed that the epithelium was predominantly hyperparakeratinized, atrophic, and hyperplastic (Figs 5 and 6).
PMC10068005_03