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Reprint requests: Lucas Lacerda de Souza, DDSDepartment of Surgery and Oral PathologyJoão de Barros Barreto University HospitalMundurucus Street, n° 4487, Zip Code 66073-000 Guamá, Belém, ParáBrazil
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. 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.
