Delayed Diagnosis of A Case of Oral Squamous Cell Carcinoma and Review of the Literature

Öz

Squamous cell carcinoma is the predominant form of oral cancer and accounts for greater than 90% of malignant pathology. Early detection is an important criterion for achieving high cure rate. Delay in diagnosis consists of either patient delay or professional delay. Case report this article, we present a case report of 65-year-old male patient with oral squamous cell carcinomas with delayed diagnosis. He stated that the complaint of pain in maxillary left posterior region of the jaw for approximately 2 months. The patient's anamnesis revealed that during 10 days period, he had been to medical doctor in university hospital. In intraoral examination, the presence of ulcerated and haemorrhagic areas at the buccal and palatal sides were found. Extraoral examination revealed palpable, tender, non-mobile and firm submandibular and cervical lymph node on the left side. Histopathological examination revealed poorly differentiated squamous cell carcinoma. He refused to surgical treatment. He was treated by chemotherapy and radiotherapy after confirmation by incisional biopsy and died a few months after they. Oral squamous cell carcinoma can sometimes be difficult to early diagnose, So, health professionals and patients need to be aware that non-healing oral lesions, need to be considered as suspicious.

Anahtar Kelimeler

• Squamous cell carcinoma, oral cancer, delayed diagnosis, early diagnosis

Geç Tanı Konulan Bir Yassı Hücreli Karsinom Olgusu ve Literatürün Gözden Geçirilmesi

Öz

Ağız yassı hücreli karsinomu, ağız kanserlerinin en sık görülen şeklidir ve malign patolojilerin % 90'ından fazlasından sorumludur. Erken teşhis önemlidir. Ağız kanserlerinin tanısında gecikme, hasta, sağlık profesyonelleri veya sistemden kaynaklanabilir. 65 yaşındaki erkek bir hastada ağızda, gecikmiş yassı hücreli karsinom tanısı konulan bir olgu sunulmaktadır. Hasta sol üst çenenin arka bölgesinde yaklaşık 2 aydır süren ağız yarası ve ağrıdan dolayı tıp doktoruna gittiğini ve 10 gün üniversite hastanesinde yattığını belirtmiştir. İntraoral muayenesinde sol üst 8 numaralı dişin bukkal ve palatinal bölgesinde ülserasyonlu ve kanamalı hiperplastik mukoza saptandı. Ekstraoral muayenesinde sol tarafta hassas, fikse ve sert submandibular ve servikal lenf nodları belirlendi. Histopatolojik incelemede az diferansiye yassı hücreli karsinom tanısı geldi. Hasta cerrahi tedavi olmayı reddetti. Kemoterapi ve radyoterapi tedavisi görmeye başladıe bir süre sonra hayatını kaybetti. Ağız yassı hücreli karsinomunun erken teşhis edilmesi zordur. Dolayısıyla, sağlık profesyonelleri ve hastaların iyileşmeyen ağız yaralarına şüpheli yaklaşmaları gerekmektedir.

Anahtar Kelimeler

• Yassı hücreli karsinom
• Ağız kanseri
• Geç tanı
• Erken teşhis

Kaynakça

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