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Hi Dr. Ashori here.
Could you upload an image of this?
How long has it been there for and is there any pain in the throat of the rest of the tongue or is the pain localized to the tip of the tongue?
I thought you mentioned it was sore.
I see, so you've had it for 4 years, not much change.
It could be a mucocele, those can occur on the tongue.
But without seeing the lesion it would be hard to tell what it is.
Usually with tongue lesions that don't change much in appearance over time we leave them alone.
If someone is a smoker or heavy drinker we biopsy them.
Otherwise just monitor for changes, if it starts changing it would be an indication for a biopsy.
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