Enlarging tongue lesion

A 79 year old male with a 2 year history of a slowly enlarging lesion on the right lateral border of the tongue. The lesion is well demarcated with rolled border. It is mostly pink and has a lobular/papillary appearance. There is a smooth white patch to its posterior. The lesion is described to be 1.3 x 1.8 cm in size and is sore but not painful. PMH for cigarette smoking for approximately 30 years; however, the patient quit smoking 42 years ago. Can you diagnose what it is?

2 Likes

LikeAnswersShare
SCC HPE Biopsy
Squamous cell carcinoma? 1st need biopsy histopathology to confirm
D/d - Squamous cell carcinoma of tongue. Advice biopsy to confirm.
Squamous Cell Ca Verrucous Ca Have biopsy confirm histopath.
IT'S A..CASE OF.. ? SCC TONGUE.. NEED'S.. HPE STUDY..