Abstract
A 72-year-old male patient was referred to the clinic with the major complaint of gum and tongue mouth ulcers with more than 6 months of evolution. Anamnesis revealed smoking and chronic alcoholism for 60 years. At the extraoral examination, submandibular lymph nodes were bilaterally enlarged, hardened, and fixed to palpation. Intraoral examination revealed total edentulism and extensive ulcer on the anterior mouth floor, involving the ventral surface of the tongue and anterior inferior alveolar ridge with volumetric enlargement, tongue without mobility, hardened to palpation, pain, and limitation of oral opening. Panoramic radiograph showed a radiolucent image in the anterior region of the mandible with irregular bone destruction similar to moth-eaten and approximately 4 cm in the largest diameter. Diagnostic hypothesis was squamous cell carcinoma. Incisional biopsy was performed. The histopathologic report confirmed the diagnosis of basaloid pattern squamous cells carcinoma. The patient was referred for cancer treatment.
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