Extensive squamous cell carcinomas in bilateral jugal mucosa

IF 2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Oral Surgery Oral Medicine Oral Pathology Oral Radiology Pub Date : 2025-03-14 DOI:10.1016/j.oooo.2025.01.085

Diovana de Melo Cardoso, Pedro Victor Silva Duarte, Glauco Issamu Miyahara, José Cândido Caldeira Xavier-Júnior, Everton Pontes Martins, Vitor Bonetti Valente, Daniel Galera Bernabé

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Abstract

A 66-year-old smoker and alcoholic male patient was referred to our service for evaluation of a lesion on the labial commissure. Patient reported that for 10 years he has had recurring “wound” in the area. Extraoral examination showed no relevant alterations. Intraoral examination revealed an ulcer on the left labial commissure extending to the jugal mucosa and vermilion of the lip. On the jugal mucosa on the right side, we noticed an exophytic ulcer that extended to the labial commissure. The clinical diagnosis was squamous cell carcinoma (SCC) for both lesions. A biopsy was performed, and histopathological examination confirmed the clinical diagnosis. The tumors were staged at T3N0M0, and the patient underwent surgery to excise both tumors. This unusual case demonstrates the importance of early diagnosis of white and ulcerated lesions in retro commissural areas and the possibility of synchronous tumors in smokers and alcoholics.

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一名 66 岁的嗜烟酗酒男性患者被转诊到本院，要求对其唇突部位的病变进行评估。患者称，10 年来，他在该部位反复出现 "伤口"。口外检查未发现相关病变。口腔内部检查发现，左侧唇合部有一处溃疡，并延伸至颈部粘膜和唇部朱砂。在右侧颈部粘膜上，我们发现了一个外生性溃疡，并延伸至唇交界处。经临床诊断，两处病变均为鳞状细胞癌（SCC）。我们进行了活检，组织病理学检查证实了临床诊断。肿瘤分期为 T3N0M0，患者接受了手术切除两个肿瘤。这个不寻常的病例说明了早期诊断后神经节区白色和溃疡性病变的重要性，以及吸烟者和酗酒者患同步性肿瘤的可能性。

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来源期刊

Oral Surgery Oral Medicine Oral Pathology Oral Radiology DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.80

自引率

6.90%

发文量

1217

审稿时长

2-4 weeks

期刊介绍： Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology is required reading for anyone in the fields of oral surgery, oral medicine, oral pathology, oral radiology or advanced general practice dentistry. It is the only major dental journal that provides a practical and complete overview of the medical and surgical techniques of dental practice in four areas. Topics covered include such current issues as dental implants, treatment of HIV-infected patients, and evaluation and treatment of TMJ disorders. The official publication for nine societies, the Journal is recommended for initial purchase in the Brandon Hill study, Selected List of Books and Journals for the Small Medical Library.