When Swelling Silences Speech

A 73-year-old woman presents with progressive difficulty speaking due to a large, painless swelling on the floor of her mouth. Explore the diagnosis and management.

Sublingual epidermoid cyst


A 73-year-old woman presented to the emergency department with difficulty in speaking, which had progressively worsened over a period of 4 days. Physical examination showed a large, fluctuant, painless swelling of the anterior floor of the mouth. Contrast-enhanced computed tomography of the neck is shown. What is the diagnosis?

What is the most likely diagnosis?

Sublingual epidermoid cyst
Carcinoma of the tongue
Beckwith-Wiedemann syndrome
Diphtheria
Tuberculosis of the tongue

Benign Cyst, Dysarthria, Floor of Mouth, Otolaryngology, Sublingual epidermoid cyst

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