The influence of the dentist during the treatment of oral squamous carcinoma: case report
DOI:
https://doi.org/10.21270/archi.v10i6.5050Keywords:
Carcinoma, Squamous Cell, Leukoplakia, Oral, Mouth MucosaAbstract
Background: Squamous cell carcinoma (SCC) represents the most common malignant neoplasm of the mouth which affects mainly subjects over 50 years of age. Clinically it usually presents as persistent ulcers with hardened edges, that may be associated with vegetation, erythroplastic or leukoplastic plaques. The most affected sites are the lateral edge of the tongue and the oral floor. Objective: to report a clinical case of microinvasive SCC on the tongue, emphasizing the importance of early diagnosis and follow-up by the dentist during and after cancer treatment. Case presentation: A 42-years-old male patient showed a leucoplasic plaque on the right side edge of the tongue, with diameter approximately 2,0 cm, rough surface, irregular contours and well-defined limits, which had appeared about two months ago. Under a diagnostic hypothesis of oral leukoplakia, an incisional biopsy was performed and the histopathological outcomes showed CCE microinvestment. The final diagnosis of SCC predominantly in situ was observed after radical surgery removal of the lesion. The patient preceded the cancer treatment with radiotherapy and was followed-up during the transoperative period by the group of dentists to prevent and treat the complications resulting from the radiotherapy. The patient showed no signs of recurrence after one year and remains in monitoring. Closing remarks: Early diagnosis was primordial for the good prognosis of the disease. In addition, the performance of the dentist group was very important during the cancer treatment.
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