Introduction: Pleomorphic adenoma, the most common benign salivary gland tumor, typically occurs in the parotid region but can also arise in minor salivary glands. Its occurrence in the lateral tongue is infrequent, making this case the first reported from Ethiopia and the second in English literature.
Case Presentation: We present an 11-year-old girl who underwent an excisional biopsy for a tongue swelling lasting 2 years. The swelling was located in the lateral middle third of her tongue. Post-operative follow-up at one year showed a smooth recovery.
Clinical Discussion: Salivary gland tumors account for about 3 % of head and neck tumors, with 80 % being benign, primarily pleomorphic adenomas. While these tumors usually occur in the parotid gland, the tongue is rare, particularly in its base.
Conclusion: Although pleomorphic adenoma is rare in the lateral tongue, it should be considered in patients with tongue masses and when we do excision, it is best to consider the esthetics.
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