Concluded Case

SCC of Lip

60/M Patient complains of ulceration on lower left side and left angle of lip since 1 month. History H/o occasional smoking. DM, HTN. Vitals WNL

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Concluded answer

Biopsy of the lesion Look for trismus Looking at the pic suggests a chronic smoker and not occasional. Ask about habit of tobacco chewing and gutka. If the ulcer extends upto the mandible then get ct scan from base of skull to clavicle

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Dr . Shashank Bagaria , it is highly evident that there is a proliferative change( Blanching margins of the lesion,irregular surface , keratotic change and marbled erythmatous appearance on the surface of the lesion ) in this case of yours. Reactive hyperplasia is visible too which makes it more likely to be a desperate Tobacco oriented SCC's. Anyways an Excisional biopsy report is mandatory to conclude the condition to be so . I suspect that this case ain't and occasional smoker but an habitual one . Thank You ....

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Biopsy of the lesion Look for trismus Looking at the pic suggests a chronic smoker and not occasional. Ask about habit of tobacco chewing and gutka. If the ulcer extends upto the mandible then get ct scan from base of skull to clavicle

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Oral apthous ulcer . Treatment ,1. Gel Metrogyl-DG forte, apply twice daily. 2.Cap.Phexin -500 mg BD for 7 days. 3.Tab.A to Z OD for 7 days. 4.Tab.Ketorol -DT ,SOS .

? MALIGNANCY.. NEED'S.. HISTOPATHOLOGICAL STUDY..BIOPSY

Ulcer lip adv: biopsy

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Biopsy the lesion

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Biopsy since ulceration is for a month rule out cancer

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