What is the next step in management if a swollen lesion is found on the tongue?

• A. Biopsy
• B. Palpate the lesion to see if it is firm
• C. Refer to oral pathology
• D. Refer to oral surgery immediately

Answer: (B)

The next step in the management of a swollen lesion on the tongue is to first palpate the lesion to assess its characteristics, which involves checking for firmness, tenderness, and mobility. This clinical examination provides important initial information regarding the nature of the lesion, helping to differentiate between possible conditions such as a benign cyst, an inflammatory lesion, or something more concerning like a malignancy.

Palpation allows the clinician to gather data regarding the size, consistency, and specific characteristics of the swelling, which can guide further management. For instance, if the lesion feels soft and fluctuant, it may suggest a fluid-filled cyst, which might be managed differently than a firm, indurated lesion potentially indicative of a more serious condition.

Collecting this initial information is crucial, as it directs subsequent steps in management, whether that includes monitoring the lesion, considering imaging, or proceeding directly to a biopsy or referral based on the findings. This approach emphasizes the value of thorough clinical assessment before making decisions about more invasive procedures or referrals.