MULTIPLE PRIMARY SQUAMOUS CELL CARCINOMAS OF THE LOWER LIP AND TONGUE: A CASE REPORT

Abstract

Multiple primary oral squamous cell carcinomas (SCCs) are rare in clinical practice. A 62-year-old white male patient, a tobacco culture work farmer, was referred to our outpatient clinic for evaluation of a tongue lesion. A long-standing tobacco and alcohol consumption associated to daily occupational sun exposure was reported. The medical and family history was not contributory. Extraoral examination did not detect lymph nodes. The vermilion border of the lower lip had multiple crusted ulcerated lesions. Intraoral examination revealed an extensive endophytic ulcer with a yellowish surface affecting the right lateral border of the tongue with 4 months of evolution. Incisional biopsies were performed, and the histopathologic analyses confirmed the diagnosis of SCC for both lesions. The patient was referred for oncological therapy. This report shows the importance of the rigorous clinical examination performed by stomatologist for a complete diagnosis and adequate reference to treatment. Multiple primary oral squamous cell carcinomas (SCCs) are rare in clinical practice. A 62-year-old white male patient, a tobacco culture work farmer, was referred to our outpatient clinic for evaluation of a tongue lesion. A long-standing tobacco and alcohol consumption associated to daily occupational sun exposure was reported. The medical and family history was not contributory. Extraoral examination did not detect lymph nodes. The vermilion border of the lower lip had multiple crusted ulcerated lesions. Intraoral examination revealed an extensive endophytic ulcer with a yellowish surface affecting the right lateral border of the tongue with 4 months of evolution. Incisional biopsies were performed, and the histopathologic analyses confirmed the diagnosis of SCC for both lesions. The patient was referred for oncological therapy. This report shows the importance of the rigorous clinical examination performed by stomatologist for a complete diagnosis and adequate reference to treatment.