Concluded Case

squamous cell carcinoma

Please diagnose and comment on it's treatment. No h/o smoking /tobacco, gutkha chewing....

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Concluded answer

Proliferative growth looks like arising from hard palate (right) with fistula (perforation) usually goes in favour of malignancy (squamous cell carcinoma) either from right maxilla or palate.Needs further investigations like biopsy,Lymph node status T.N.M.status, X-ray P.N.S( if possible C.T.Scan).If it is proved malignant External radiation(radical) followed by Chemotherapy to be considered.(Surgery may be tried but remote chances

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Proliferative growth looks like arising from hard palate (right) with fistula (perforation) usually goes in favour of malignancy (squamous cell carcinoma) either from right maxilla or palate.Needs further investigations like biopsy,Lymph node status T.N.M.status, X-ray P.N.S( if possible C.T.Scan).If it is proved malignant External radiation(radical) followed by Chemotherapy to be considered.(Surgery may be tried but remote chances

Thank you doctor
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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

The. COMPLETE. Details. are. Missing .. It. is. also. not. mentioned...here... whether. the. patient. was. using. some. upper. R P D. .. with. palatal. suction. disc.... which. might. have. resulted. in. such. a. palatal. perforated. lesion ... ADVISABLE.... 1. Biopsy 2. C T. Scanning 3. Occlusal. X-RAY 4. COMPLETE. Blood. and. URINE. Examination 5. Blood. Culture. and. Sensitivity. Test.... Management...... As. Per. INVESTIGATIONS. REPORTS...

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Ulceroproliferative growth associated with pigmentation in the palate,everted edges with no h/o any deleterious habits, suggestive of melanoma D/d carcinoma of palate Confirm with biopsy And immediate treatment is necessary

Maybe malignancy of maxillary sinus extending beyond the palate. Please get a CT scan and later proceed for biopsy

CT scan and ,upper GI endoscopy and endoscopic biopsy if any other mass found while endoscopy...biopsy of this lesion.. complete blood picture..add antifungals

Looks like malignancy Biopsy and CT will lead to diagnosis

Some minor salivary gland tumor... palpate it note the induration, history is not given properly... Plan for a biopsy and then decide ... get a cect done .. see the extent If it is a benign may try excision with coblator and depending on the defect decide if u need reconstruct with flaps ... if not palate is intact u may not need that If malignancy note the extent and staging and discus with tumor board and then either right total maxillectomy with or without neck dissection

Looks like a carcinoma ....go for biopsy ...

Thanks. Dr. Rp. Singh ji Welcome......sir

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