Severe mouth pain

Chief complaint A 58 y/o male presented with the complaint of mouth pain and dysphagia to solid. History He had underwent an extraction recently. Before extraction patient had severe tooth pain which was due to pus formation in the tooth region for around 6 months. He is a chronic smoker & has lung cancer. Investigations A large mass was noted in the extraction socket. Diagnosis Can you tell what is this mass?

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SUGGESTIVE. OF... METASTATIC POORLY DIFFERENTIATED CARCINOMA ( MALIGNANCY ). ... SECONDARY. TO ..... ..POSSIBLY... NON - SMALL. CELL LUNG. CANCER...... ...... GENERALLY..... METASTASES. TO. ORAL. CAVITY. IS. COMMON. FROM .... MALIGNANCY. OF... BREAST.... LUNGS... KIDNEYS.. PROSTRATE... THYROID.. PANCREAS......ETC...ETC.. .... IN. THE. PRESENT. CASE.... THE. PATIENT. IS. HAVING....LUNG. CANCER....AND. IS. A. SMOKER... .. ADVISABLE.... 1 ..INCISIONAL BIOPSY. 2. CT. SCAN....THORAX. AND. ABDOMEN 3. ALL. ROUTINE. INVESTIGATION MANAGEMENT.... CHEMOTHERAPY.. PROGNOSIS.... ... POOR.. POSSIBLE. SURVIVAL. RATE... . ...5....YEARS

@Dr. Sandhya Negi On correlating the above mentioned history of the pt.... Primary site of Cancer: Lungs Secondary site/ Metastasis: Oral cavity Mostly Mandible (due to lesser blood supply)....Pain n dysphagia is one of S&S RG: Can appreciate ill defined radiolucency with jagged borders suggestive of Carcinoma... Adv: CBC, Hepatitis B, Hepatitis C, HIV and BIOPSY..

NEED'S TO.. R/O.. MALIGNANCY.. WITH.. HPE STUDY..

Biopsy...cancerous

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