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Clinicopathologic Conference
Intraoral mass, extraoral suppuration, and jaw lesions
A 77-year-old African American man with a 1-year history of an asymptomatic intraoral mass and facial edema was referred by his physician for specialized oral medicine evaluation at our department. His medical condition pointed to systemic arterial hypertension controlled with medications. His blood test results indicated elevated creatinine and urea (1.64 mg/dL and 80 mg/dL, respectively). Additionally, the patient's medical history did not indicate any antiresorptive or other drug that could alter bone remodeling, as well as radiotherapy in the head and neck region.An ulcerated nodule on the tip of the tongue of a patient with skin lesions
A 66-year-old male patient was referred with a chief complaint of an asymptomatic ulcerated nodule on the tongue with 2 months of evolution. The patient’s medical history included hypertension; multiple basal cell carcinomas on the skin, which were surgically treated; and prostate cancer, which was still being treated with radiotherapy. The patient also reported the use of antiandrogens. Information on tobacco or alcohol consumption was not elicited. Extraoral examination revealed facial lesions characterized by areas of hypo- and hyperpigmentation of the skin, actinic lentigines, actinic keratosis, and actinic cheilitis (Figure 1A-1D).A chronic oral ulcerative eruption
A 38-year-old, white, male patient, who worked as a bricklayer, was referred for evaluation of multiple linear painful ulcers with erythematous borders, extending to a painless small nodule in the buccal mucosa. The patient reported intense and intermittent burning sensation and pain in the right buccal mucosa, which had started suddenly about a month earlier, causing difficulty in swallowing. After 2 weeks without relief, he sought aid at an emergency service, where he was treated with antibiotics for 7 days without success.
