A 35 year old lady came with c/o of pain over the lateral aspect of tongue for 1 year.. h/o recurrence present...h/o weight loss present.. L/E a chronic non healing ulcer seen ..does not bleed on touch .. painful condition Dx????

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History of any systemic problems? Rule out diabetes Chronic non healing ulcer with erythematosus region on lateral border of tongue Suggestive of CA tongue D/d pemphigus Erosive lichen planus Rule out vesiculo bullous lesions Topical steroids combined with anaesthetics Vitamin supplements Confirm with biopsy

Thank you doctor
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Send the lesion for biopsy Duration of lesion, its recurrence and non healing all suggestive of sqamous cell carcinoma. Could be major apthae or traumatic ulcer also. Refer to a dentist. Do cbc, rbs, elisa

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Blood picture required .....ontological picture of site..plz refer to oncology centre

Looks like squamous cell carcinoma......please go for biopsy ...good luck

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Biopsy for proper investigation Might be traumatic ulcer

Without biopsy,how can be conclud.

Might be traumatic ulcer

Squamous cell carcinoma
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You need excisional biopsy to confirm Dx DD : squamous cell carcinoma

First rule out the possibility of squamous cell carcinoma by biopsy..

? Malignant Biopsy Histopathology

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