DIAGNOSIS OF EPIDERMOID CARCINOMA OF THE TONGUE AFTER TREATMENT OF ESOPHAGUS EPIDERMOID CARCINOMA: A CASE REPORT

Abstract

The present case report addresses the diagnosis and therapeutic process of a case of esophageal epidermoid carcinoma associated with a tongue second primary neoplasm. A 60-year-old Caucasian, male patient, smoker and drinker, diagnosed with stage III esophageal epidermoid carcinoma, treated with chemotherapy and radiotherapy with 50.4 Gy. By the end of radiotherapy, the patient was hospitalized with dysphagia and malnutrition. Under the initial complaint of oral pain, tooth mobility, thick bacterial plaque, and generalized calculus were identified, in addition to an approximately 1.3 cm ulcerated lesion on the right side of the tongue. Considering the lesion's clinical aspect and the patient´s history, an excisional biopsy was performed, where the histopathological analysis showed another manifestation of epidermoid carcinoma, causing the patient to be referred for treatment by the oncologist. Attention to clinical manifestations and the efficacy of the multidisciplinary team tends to provide a better prognosis for hospitalized patients. The present case report addresses the diagnosis and therapeutic process of a case of esophageal epidermoid carcinoma associated with a tongue second primary neoplasm. A 60-year-old Caucasian, male patient, smoker and drinker, diagnosed with stage III esophageal epidermoid carcinoma, treated with chemotherapy and radiotherapy with 50.4 Gy. By the end of radiotherapy, the patient was hospitalized with dysphagia and malnutrition. Under the initial complaint of oral pain, tooth mobility, thick bacterial plaque, and generalized calculus were identified, in addition to an approximately 1.3 cm ulcerated lesion on the right side of the tongue. Considering the lesion's clinical aspect and the patient´s history, an excisional biopsy was performed, where the histopathological analysis showed another manifestation of epidermoid carcinoma, causing the patient to be referred for treatment by the oncologist. Attention to clinical manifestations and the efficacy of the multidisciplinary team tends to provide a better prognosis for hospitalized patients.