Abstract

A 66-year-old White female patient presented with the chief complaint of gum pain and gingival growth at the prosthesis support region. Her mother had osteoporosis and her father died of pneumonia. She reported hypertension, hypercholesterolemia controlled by drugs, and history of breast cancer, treated with 18 sessions of chemotherapy and 33 sessions of radiotherapy. No changes were observed on extraoral physical examination; however, intraorally it was possible to see 3 ulcerated areas all located on the alveolar ridge, at the region of teeth 34, 37, and 47. Biopsies of the 3 areas were performed and histologic diagnosis came back as 3 distinct epidermoid carcinomas. The patient underwent mandibulectomy and radiotherapy and is being followed up by the oncology service.

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