A 19-year-old woman presented with a exophytic tongue mass. No obvious risk factors involved. Can you tell the diagnosis and next step in management?

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Biopsy. Not necessarily CA.
D/d Papillamatosis Reactive hyperplasia Malignancy Advice biopsy and confirm Look if there is any history of trauma Reactive hyperplasia is the most frequent phenomenon responsible for exophytic lesions in the oral cavity. These lesions represent a reaction to some kind of chronic trauma or low grade injuries such as fractured tooth, calculus, chewing, and iatrogenic factors including overextended flange of dentures and overhanging dental restorations
Nicely answered Mam!
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? PAPILLOMATOSIS.. ? REACTIVE HYPERPLASIA.. ? SCC.. BIOPSY FOR CONFIRMATION AND MANAGEMENT..
Tnx Dr Sachin Kale
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??Scc Biopsy required
A high resolutuion MRI to find depth infiltration ipsi and contralateral nodes if any to be done. Though it could be a chronic papiloma Ca is the first diagnosis even in the absence of risk factors. A deep trigone wedge resection would be diagnostic and therapeutic as well.follow up treatment depends on HPE results.he may require hemiglossectomy he madibulectomy radical neck dissection .chemo RT depending upon HPE cell lineage infiltration of deeper structures and nodal metastasis.in case of a ca
Please go for biopsy.. Clinical dd.. Squamous cell carcinoma Verrucous carcinoma Pseudoepithelomatous hyperplasia.
Squamous cell ca or a papilloma. Check for reginal lymphadenopathy. Punch biopsy to conform. Please update with biopsy report
Possible DDs, 1.Squamous cell carcinoma 2.Squamous cell Papilloma -Detail Clinical evaluation, and biopsy for needful.
Looking growth Here are possibilities 1) SCC 2) squamous Papilloma Further confirm by biopsy
Appears raised,fleshy,ulcerative large mass lesion. Advised Bx to R/O malignancy.
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