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A 6-year-old previously well girl was referred with an acute onset 10-day history of a sore throat and lump sensation when swallowing. She had a large mass protruding from the oropharynx (figure 1). Bilateral palatine tonsillar enlargement also narrowed the oropharynx. Her physical examination was otherwise normal, with no stridor, difficulty breathing or hoarse voice.
An MRI demonstrated a well-circumscribed mass at the tongue base, …
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