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Mouth Diseases

Lump on Tongue

05/05/2010

Question:

i had a dark lump on the left side of my tongue. i went to the doctor and it turned out to be like a blood blister and when popped all the blood came out and it went away. it kept coming back every few days but once the blood was removed it was fine. now that has stopped but its gone white and really small. not sure how to get rid of it. its not sore, i just dont like the look of it and not sure what it it.

Answer:

The most likely explanation for what you have described and what was occurring is related to the fact that you have injured the tongue tissue (probably by inadvertently chewing/biting it) and the result was a traumatic hemangioma or collection of blood within the tissue. The tongue is highly vascularized, thus when you bite it, your tongue bleeds profusely. In your case you did not break the epithelium/tongue covering and it bleed within the tissue. After the doctor incised the lesion, it bled and then “healed over” but the bleeding still was occurring thus the reoccurrence of the blood blister.

 

With time the lesion resolved and the white “spot” you refer to seeing is probably the result of the incision and is nothing more than fibrous scar tissue. In most cases no intervention is required for removing blood blisters, as they resolve and go away with time (sometimes weeks depending on the size and dissolution of the clot).  

 

Now, sometimes these “blood blisters” are long standing and not the result of trauma but are congenital malformations, the treatment for these is a bit more complex, and based upon your description this was probably not the case.

 

In the later, the lesion is radiographically evaluated and sclerosing agents may be used to “shrink” the lesion and either laser ablation or surgical excision is then performed to remove the lesion.

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Response by:

Richard J Jurevic, DDS, PhD Richard J Jurevic, DDS, PhD
Formerly, Assistant Professor of Biological Sciences
School of Dental Medicine
Case Western Reserve University