Painful ulcer over the tongue

Chief Complaint A 49 y/o male presented with painful, slowly enlarging lesion over the lateral border of the tongue on the right side for 3 months. History He is taking OTC medicine. He complains of difficulty in swallowing. No any other swelling noted. He is a chronic smoker and has 7-8 cigarettes per day. No past medical or surgical history. Family history is non relevant. Investigation Examination shows white non-healing ulcer over the lateral border of tongue. Diagnosis Please give your views.

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SUGGESTIVE. OF ORAL SQUAMOUS. CELL CARCINOMA.....TONGUE ... POSSIBLY.... SECONDARY. TO .... TRAUMATIC. ULCERATION... WITH. MOLAR. TOOTH. ..IN..CLOSE VICINITY... AGGRAVATED. WITH.... CHRONIC. SMOKING.. .... ADVISABLE... CONFIRMATION. WITH. BIOPSY TNM. STAGING MANAGEMENT.... ..IF. O. S. C. C....TONGUE CONFIRMED... 1. RT. HEMIGLOSSECTOMY 2. RT. SELECTIVE. NECK. DISSECTION 3. RT.. RADIAL. FOREARM. FLAP RECONSTRUCTION. 4. POST. SURGICAL. RADIATION. THERAPY ..PROGNOSIS....... ..SEEMS. TO. BE. SATISFACTORY.....

P/d- CA tongue , traumatic ulcer .Rx- habbit councelling, cap lycomax, cap becasule, dentogel ,odontoplasty for sharp cusp, R/o chronic gastric distress.Adv HPE (incisional biopsy) to R/o malignancy.

DD: 1- Squamous cell carcinoma 2- traumatic ulcer Does pt have sharp cusp/tooth in this side Make excisional biopsy to confirm Dx

Due to neglecting treatment of traumatic ulcer Squamous cell carcinoma of tongue secondary to traumatic ulcer Adv.Biopsy

As painful biopsy mandatory...traumatic ulcer turning into CA

Carcinoma of tongue. Need biopsy

?? CA TOUNGE