A 59-year-old woman was referred to the otolaryngology clinic for a one-year history of a slowly enlarging submental mass. She denied any pain, dysphagia, or weight loss. She had intermittent shortness of breath that accompanied episodes of anxiety but no other respiratory symptoms or voice changes. Aside from a history of mild intellectual disability, she denied any other medical problems and did not smoke or drink alcohol. Physical exam was notable for a painless, mobile, 4 cm mass in level 1a that was not fixed to the overlying skin.
There was a fullness in the floor of mouth but the tongue was not retro pulsed and there were no signs of mucosal involvement. The remainder of the head and neck exam was unremarkable. A CT image is attached. What will be the most likely diagnosis? *This case is from Docplexus editorial team for educative purpose only Source: Clinical cases in medicine.…