A 46-year-old man presented for an evaluation of a lesion on the dorsal tongue. The patient was asymptomatic and unaware of the lesion prior to it being discovered by his dentist. He underwent incisional biopsy at another institution and presented for a second opinion on the diagnosis. Overall, he was in good health with no underlying systemic diseases. Results of the most recent serologic analysis and urinalysis were also reportedly within normal limits.
The extraoral examination was unremarkable, with no skin lesions, asymmetry, redness, swelling, or lymphadenopathy observed. The intraoral examination revealed an erythematous denuded area of the midline posterior dorsal tongue, with a central nodular component (Figure 1A). The nodule was firm to palpation and nontender. The remaining oral soft tissue was unremarkable. Because a biopsy specimen was already obtained, blank slides were requested from the aforementioned institution, and staining was performed in house.
Please finish quiz first before checking answer.
Read the answer below and download your certificate.
Read the discussion below and retake the quiz.
Sign in to take quiz and track your certificates
JN Learning™ is the home for CME and MOC from the JAMA Network. Search by specialty or US state and earn AMA PRA Category 1 Credit(s)™ from articles, audio, Clinical Challenges and more. Learn more about CME/MOC
CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.
Corresponding Author: Elizabeth Philipone, DMD, Department of Pathology and Cell Biology, Columbia University Irving Medical Center, 630 W 168th St, PH15 West Room 1562, New York, NY 10032 (firstname.lastname@example.org).
Published Online: June 8, 2023. doi:10.1001/jamaoto.2023.1205
Conflict of Interest Disclosures: None reported.
Additional Contributions: We thank the patient for granting permission to publish this information.
Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:
It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.
You currently have no searches saved.
You currently have no courses saved.