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An ulcer on the ventral tip of tongue

Published:February 09, 2018DOI:https://doi.org/10.1016/j.oooo.2018.01.019
      A 55-year-old male patient was referred to our department with the chief complaint of a painful and nonhealing ulcer of 1-month duration in the ventral tip of the tongue. He also complained of difficulty chewing and swallowing. The patient smoked 20 cigarettes per day for 15 years. The patient reported unintentional weight loss of 4 lb during the last 2 months and presented an unproductive cough lasting for 5 years, considered a complication of his smoking habit. Additional past medical and surgical histories were unremarkable. Extraoral examination revealed a localized, fixed, cervical lymphadenopathy on the right side, involving the submental and submandibular areas. The intraoral examination revealed a horseshoe-shaped gray-white ulcer with an erythematous thickened posterior border on the ventral tip of the tongue. The lesion measured 2 × 4 cm and was of a firm consistency (Figure 1A). The remaining part of the tongue was normal in texture and color. The mobility of the tongue was normal.
      Fig. 1
      Fig. 1The clinical aspects of the patient's tongue before and after treatment. A, Pretreatment lesion showing a gray-white ulcerated lesion with irregular margins and whitish patch on the ventral tip of the tongue. B, Post-treatment image showing healing of the lesion.
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