Clinically Speckled Leukoplakia || Malignancy
❄ 67yrs old lady presents with oral ulcer for 10mths & not responding to any medicine. O/E: Ulcerated erythematosus lesion with surface granularity & white unscrapable patch. Palpable mobile firm non-tender bilateral submandibular lymph nodes. Kind Dx..
Though clinical appearance is of speckeled leukoplakia, presence of palpable lymph node is suggestive of malignant transformation sir
Erythematous ulcer with varying degree of induration bilateral nontender firm lymphadenopathy WARNING SIGN AND SYMPTOMS SIR advise Biopsy probable SSC Erythroplakia converting CA CA in situ
Suspicious leison... can be squamous cell carcinoma...go for incisional biopsy to reach the diagnosis and treat accordingly till then put the pt on Antioxidants and multivitamin
As per history of 10 months of oral ulcer with bilateral submandibular lymphadenitis in a case of 67 yr age. Chronic ulcer oral cavity , Leukoplakia but better to R/O SCC
My P/D: Malignancy D/D: Speckled Leukoplakia Thanks & I respect all valuable opinions of all respected participants. Thanks once again.
This is probably scc pt looks to be addict to tobacco and keeps tobacco at the site of ulcer hence granulating and not healing biopsy is must.
Though clinical appearance is of speckeled leukoplakia, presence of palpable lymph node is suggestive of malignant transformation sir
Autoimmune type ulcer amelaxanox tube ? Any type of tooth paste cinnamon containing? Any other autoimmune disorder in body ?
Inflammatory fibrous growth/ nodular leukoplakia????? Histopathological need.. I think.
Carcinoma(SCC) with leukoplakia... Go for incisional biopsy and ref to higher center@
It seem like nodular leukoplakia Biopsy should be done for diagnosis
Cases that would interest you
- Login to View the image
40/f with painless lesions on palate since days.Noticed accidentally on examination. No h/o any systemic disease. h/o ill fitted RPD by a quack. so d/d please. I am sure it will go from HZ to LP to erythema
Dr. Tahir A10 Likes48 Answers - Login to View the image
65yrs old female known Paan chewer but not tobacco at all... from a poor family... c/o- an irregular growth over palate since last 3 to 4 months... its growth was steady in 1st month but now stopped growing since last 2 months... no history of DM HTN or any major diseases till date... no history of fever or lymhadenopathy.. o/E.. using gloves.. its consistency is soft.. it is totally painless... after pressing hard u can mildly feel hard palate... Send to an expert ENT surgeon at CIVIL hospital for biopsy.. waiting for results... My diagnosis is Tori Palatinous... or palatinal tori..mostl benign in nature... needs surgical removal... what do u say friends...??
Dr. Sushant Revadekar18 Likes80 Answers - Login to View the image
30 year female patient presented with oral lesions ......please give DD
Dr. Penchila Prasad2 Likes24 Answers - Login to View the image
Diagnosis & treatment? C/o unhealed ulcer. 1-2 month Hiv-ve
Dr. Gaurang Vyas4 Likes43 Answers - Login to View the image
A 65 yr old female non DM non HTN with no known addictions, came to me with h/o painful ulcerations over the tongue,soft palate and buccal mucosa since 1yr...on and off...she received multiple treatments...including multivitamins, short courses of steroids twice in this one year..subsided in between.But this time she is having it since 1 month,not subsiding with treatment and severe pain along with difficulty in swallowing. I diagnosed it as recurrent aphthous stomatitis and adv workup. HIV negative,RBS normal,UGI endoscopy-Normal.ANA sent report awaited. There are no other signs and symptoms suggestive of malignancy or autoimmune or behcets disease. I suspected HSV stomatitis and so started her on acyclovir, but did not send tzanck smear...also put her on triamcinolone 0.1% buccal paste, amlexanox and lignocaine ointment and also started pentoxyfylline 400 tid...she came after 3 days with no improvement and so i added defcort 6 mg bid. what is the next course of action,should i get a biopsy. Need expert opinion pls
Dr. Vamsi Mohan Kodamarty8 Likes55 Answers
11 Likes