ENT Quiz – Swelling in base of tongue

Suprahyoid thyroglossal cyst

32 year old male presented with complaints of foreign body sensation throat and difficulty in swallowing since 1 month. Not a smoker, alcoholic.

On examination: Oral cavity normal, oropharynx normal, neck no nodes.

Flexible laryngoscopy: Showing a smooth mass in the substance of base of tongue, in the midline. See the attached image. Rest of the study unremarkable.

What could be the provisional diagnosis?


Lingual thyroid


Dr. Sanu. P. Moideen, MBBS, MS (ENT), DNB (ENT), FHNOS, is an otolaryngologist (ENT surgeon), head and neck oncosurgeon practising in Muvattupuzha, Kerala, India. After finishing his postgraduate training, he pursued specialist training in paediatric ENT and head and neck oncosurgery from eminent institutions in India and the US.

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