Myers Dominick, Allen Emily, Essa Amr, Gbadamosi-Akindele Maryam
Internal Medicine, Creighton University School of Medicine, Omaha, USA.
Cureus. 2020 Mar 2;12(3):e7164. doi: 10.7759/cureus.7164.
The tongue can be a guide for different normal findings/variants, pathological lesions, or signs for systemic diseases. And oral cancer can be among the differentials, which can be detected early by a thorough oral exam. The early detection of oral cancer is particularly important, as the stage of oral cancer at the time of the diagnosis is the most critical factor determining the five-year survival. We present a case of a high-risk patient for oral cancers presented with a rapidly growing tongue lesion over six months that was diagnosed as a squamous cell carcinoma of the tongue on the biopsy. The case highlights an alarming rapid growth nature of oral cancers and alerts the clinicians of the importance of the physical exam as a cost-effective and potentially life-saving measure against oral cancers. It also demonstrates a brief review of risk factors and high-risk features of oral cancers.
舌头可以作为不同正常表现/变异、病理病变或全身性疾病体征的指示。口腔癌也在鉴别诊断范围内,通过全面的口腔检查可以早期发现。口腔癌的早期检测尤为重要,因为诊断时口腔癌的分期是决定五年生存率的最关键因素。我们报告一例口腔癌高危患者,其舌部病变在六个月内迅速生长,活检诊断为舌鳞状细胞癌。该病例突出了口腔癌令人担忧的快速生长特性,并提醒临床医生体格检查作为一种经济有效且可能挽救生命的口腔癌筛查措施的重要性。它还简要回顾了口腔癌的危险因素和高危特征。