Though tuberculosis in India is very common but tuberculosis of oral cavity is very rare. It is prevalent as 0.5 to 5% of all cases1.Interigity of the oral epithelium and inhibitory effect of saliva are considered to be the reason for relative resistance to infection of bacilli,2 hence it is low prevalent. Though its a case of primary tuberculosis of tongue giving suspicion of malignancy in an otherwise healthy elder male belonging to low socioeconomic class.