Thursday, July 31, 2014
Stubborn bump ...
About 7 months ago I noticed a small white spot nearly on the tip of my tongue.. it didnt really bother me so I didn`t think to get it checked by a doctor. However, since discovery this "bump", which I think is an enlarged taste bud, has gotten quite big and it now pretty noticeable if I happen to stick out my tongue. Also, it has become very annoying and now almost seems to be, kind of, hanging or sticking up, off of my tongue. I was just wondering if it`s normal to have this for such a prolonged period of time and if I could get it removed by my doctor?
As you surmised, this probably started out as a swollen taste bud (or fungiform papilla). It may have been irritated or traumatized by accidental biting or rubbing against the teeth, leading to additional enlargement and the development of scar-like fibrous connective tissue. At this point, it may be better categorized as a fibroma (irritation fibroma, bite fibroma, fibrous hyperplasia). Although completely benign, it could continue to enlarge.
Given your concern, I would recommend you seek out an appointment with an oral surgeon to discuss conservative removal of this stubborn bump. Good luck!
John R Kalmar, DMD, PhD
Clinical Professor of Pathology
College of Dentistry
The Ohio State University