MALIGNANT Vs. TRAUMATIC TONGUE ULCER: A CLINICAL APPROACH

Abstract

ABSTRACT:The incidence of oral cancer is rising in India. Mortality from the disease remains high and survival has not improved significantly. Both prevention and early detection within the general dental practice setting have a potential impact on overall incidence, morbidity and mortality from oral cancers. The primary dental health team has an integral role in the early detection of oral malignancy and potentially malignant lesions. However, the clinical features may sometimes be ambiguous. The aim is to present two cases of tongue ulcers with ambiguous clinical presentation. One was innocuous tongue ulceration, not responding to conservative treatment modality and found to be squamous cell carcinoma on biopsy, treated successfully at referral center; while the other was mimicking a malignancy at initial presentation, but turned out to be innocent one. Thus, emphasizing the need of thorough routine clinical examinations as an essential mean so as to improve the survival of patient.

Management of chronic traumatic ulcer mimicking oral squamous cell carcinoma on the tongue

“…In newborns and infants trauma can be due to natal teeth (Riga-Fede syndrome) 10 Although the majority of such injuries are unintentional, self-inflicted injuries can also frequently occur. 9,[11][12][13] The aim of our case study is to provide information regarding the oral management of traumatic ulcer cases that mimicking OSCC. The most common symptom of OSCC is a non-healing sore or ulcer, while other potential symptoms including: pain, numbness, a persistent lump or thickened area, a persistent red or white patch, dysphagia, a sore throat or the sensation of something being "caught" in the throat.…”