Abstract
Squamous cell carcinoma (SCC) is the most common malignancy that affects the oral cavity. It is related to smoking and drinking, which can increase the carcinogenic effect. The objective of the work is to report 2 cases of microinvasive SCC, presenting their clinical characteristics and emphasizing early diagnosis and clinical management. Case 1: A 65-year-old male smoker undergoing treatment for prostate adenocarcinoma with bone metastasis and use of alendronate complained of bilateral white plaques on the palate without painful symptoms. Case 2: A 43-year-old female smoker with no comorbidities presented with a shallow ulcer in the palate region. The diagnostic hypotheses were mild dysplasia and SCC. Incisional biopsies were performed and histopathologic reports revealed microinvasive SCC. The patients were referred for treatment. It was concluded that the dentist must be attentive to the diagnosis of oral lesions for a favorable prognosis and patient survival. Squamous cell carcinoma (SCC) is the most common malignancy that affects the oral cavity. It is related to smoking and drinking, which can increase the carcinogenic effect. The objective of the work is to report 2 cases of microinvasive SCC, presenting their clinical characteristics and emphasizing early diagnosis and clinical management. Case 1: A 65-year-old male smoker undergoing treatment for prostate adenocarcinoma with bone metastasis and use of alendronate complained of bilateral white plaques on the palate without painful symptoms. Case 2: A 43-year-old female smoker with no comorbidities presented with a shallow ulcer in the palate region. The diagnostic hypotheses were mild dysplasia and SCC. Incisional biopsies were performed and histopathologic reports revealed microinvasive SCC. The patients were referred for treatment. It was concluded that the dentist must be attentive to the diagnosis of oral lesions for a favorable prognosis and patient survival.
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