I have a lump near the middle of my tongue
Hello. yes it can be malignant
Hello dear. I have gone through the details.
So, as you said , you have quit smoking and alcohol long back, it tend to reduce the risk of developing cancer. However, risk never comes back to zero. If there is a definite lump on clinical examination with a breach in the skin, it can be a malignant lesion. Appropriate will be to get a needle aspiration biopsy done and to confirm it.
Smaller the lesion, more chances of complete cure.
Thanks and regards
feel free to ask further