**DISCUSSION CASE** **Case description:** **79-year-old Female who presented concerned about a lump on her tongue.** She has been aware of the presence of the lesion for over a year but became more concerned recently as her friend was diagnosed with oral cancer. Her medical history is significant for hypertension and osteoarthritis. She is a non-smoker and does not drink alcohol. **Activity:** 1. Identify the pathosis and describe the clinical features 2. What is the differential diagnosis? 3. What are the relevant clinical investigations? 4. What is the diagnosis? 5. How would you manage this patient?  #### Patient Presentation and History A 79-year-old female presented with concerns regarding a lump on her tongue. The patient has been aware of the lesion for over a year. Her concern increased recently following a friend's diagnosis of oral cancer. - **Medical History:** Significant for hypertension and osteoarthritis. - **Social History:** Non-smoker; does not consume alcohol. #### Case Activity 1. Identify the pathosis and describe the clinical features. 2. What is the differential diagnosis? 3. What are the relevant clinical investigations? 4. What is the diagnosis? 5. How would you manage this patient? Clinical photograph showing a close-up view of a patient's oral cavity, specifically the tongue and floor of mouth. A medical instrument is retracting the lip to reveal the tissue. [^1]: Original PDF page 1: [[17. Mesenchymal tumours case 1.pdf#page=1|17. Mesenchymal tumours case 1, p.1]]