Clinical Appearance and Histopathological Analysis of Tongue Lesions.

INTRODUCTION: In our study, demographic, clinical and histopathological results of patients with tonguelesions were analyzed retrospectively and compared with the currentliterature. METHODS: This study was conducted in Otorhinolaryngology clinic between January2013 and December2018. Histopathological findings of these lesions were recorded based on the biopsy of the patients with lesion in the tongue. The recorded data were evaluated according to age,gender,frequency of benign and malignantpathologies, localization of tongue lesions, morphological appearance and histopathology. RESULTS: A total of261patients(mean age52.45years)who presented to our clinic with the complaint of lesion were included in the study. Of these patients, 139were female(53.25%) and 122were male(46.75%). Of the benign lesions, 118were female(84.89%) and 102(83.60%) were male. The age group with most common benign pathologies is40.6% in the 40-59 age range. malignant lesions, it was found to be34.5% in the age range of60-79. According to the histopathology of benign lesions; 20.8%had acanthosis/parakeratosis, 20.5%fibroepithelial polyp and 20%papilloma. The frequency distribution in malignant lesions is;most commonly SCC was present in80.5%of thecases, followed by diffuse large B-cell lymphoma with a rate of7.3%. The distribution of these lesions according to their localizations; lateral border with34.8% and dorsum with34% DISCUSSION AND CONCLUSION: In daily practice, The examination of patients presenting with a long-term lesion, the appearance of the lesion, and the histopathological analysis help to categorize the type of lesion. According to our results, most of the tongue lesions are benign lesions but it should be kept in mind that a lesion with vegetative, leukoplakia and ulcerative appearance in the tongue may be a preliminary finding of malignant pathology