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This work offers a structured overview of tongue pathologies, their main clinical presentations and the diagnoses to be considered, ranging from benign variations to potentially malignant lesions and cancers, with a practical approach based on questioning, systematic clinical examination, identification of warning signals and reasoned recourse to complementary examinations.It stresses the dual requirement of not over-treating physiological variants, while biopsying suspicious lesions without delay, in order to optimize early detection, management and follow-up.Everything is illustrated by representative clinical photos.
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