If there is a swollen lesion on the tongue, what should be your next step?

Palpating the lesion to determine if it feels firm is an essential step in the assessment of a swollen lesion on the tongue. This initial evaluation helps differentiate between various types of lesions, such as benign and malignant conditions, based on consistency.

Firmness can indicate a more serious underlying issue, whereas softer lesions may suggest different etiologies, such as inflammation or infection. By assessing the texture and firmness of the lesion, a healthcare provider gains crucial information to guide further management decisions. If the lesion is firm, it may warrant additional investigative steps such as biopsy or specialty referrals. Conversely, if the lesion is soft and fluctuant, it may point to an inflammatory process that could be managed differently.

Given the importance of this tactile examination, it serves as a logical and necessary first step in evaluating any abnormal finding before determining whether a biopsy, referral, or other interventions are needed.