A healthy, six-year-old girl presented to the clinic with a three-day history of swelling on the foor of
her mouth (Figure 1). Te swelling was painless and was not associated with discharge or bleeding
inside her mouth. She also denied any fever, signifcant loss of weight or appetite, halitosis, dysphagia,
and odynophagia. Tere was no other neck or chest swelling.
On physical examination, her face and neck appeared normal and symmetrical. Cervical and
submandibular lymph nodes were not palpable. However, there was an ill-defned, rounded, bluish
swelling approximately 2 cm in diameter on the left foor of the mouth lateral to the frenulum. Te
swelling was soft with a smooth surface but non-tender upon palpation. Tere was no bleeding or
discharge noted in the oral cavity. Other oral structures appeared normal despite multiple caries on her
deciduous teeth.