Pathology · single question

A bluish, fluctuant swelling on the floor of the mouth / under the tongue. Most likely?

  1. Ranula
  2. Fibroma
  3. Hemangioma
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Correct answer: A. Ranula

  • A. Correct. A ranula is a mucocele of the sublingual/submandibular gland presenting as a bluish, dome-shaped, translucent swelling in the floor of the mouth.
  • B. Incorrect. A fibroma is a firm, pink, sessile nodule (reactive hyperplasia), not a bluish fluid-filled swelling.
  • C. Incorrect. A hemangioma blanches on pressure and is a vascular proliferation; the classic floor-of-mouth bluish swelling described is a ranula.

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