Abstract
A 69-year-old female patient reported tongue lesion 3 months after trauma due to prosthesis during feeding with painful symptoms. She has been a smoker for 40 years and is an ex-drinker. Intraoral examination showed single ulcerated lesion located on lateral border of tongue, left side, raised and infiltrated borders, with granulomatous and endophytic surface, clear borders, with stimulated painful symptoms, measuring 1.0 x 1.0 x 0.2 cm. The clinical hypotheses were oral squamous cell carcinoma (OSCC) and tuberculosis ulcer. Incisional biopsy was performed, and anatomopathological examination confirmed the diagnosis of OSCC. Although oriented, the patient had difficulty obtaining treatment, returning 6 months later with tumor, endophytic, ulcerated, measuring 5.0 x 4.5 x 1.0 cm, with necrotic center, diffuse borders, and intense pain. This report illustrates a case of neglected OSCC and emphasizes that early diagnosis needs to be accompanied by early intervention.
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