Swelling Tongue

59 year old this is the image what is the treatment

Diagnosis & treatment? C/o unhealed ulcer. 1-2 month Hiv-ve

A 41-year-old female presented with a 3-weeks history of these lesions on the dorsolateral tongue on right side. Lesions started 1 year ago, with the formation of a mass on the right side of the tongue that developed due to initial bite trauma. It was treated in the past but did not heal completely. No history of tobacco or smoking abuse. Examination shows 3×2 cm Exophytic and raised mass. Can you make any diagnosis before biopsy?

72 y/o female presented with large, irregular, mostly superficial and ulcerated red and white lesion on the left lateral and ventral surfaces of tongue of unknown duration. It was diagnosed as traumatic ulcer and tooth was smoothed out 3 weeks back with no resolution to the tongue lesion. The patient complained of pain. What are differentials?

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