An Etiologic Perspective on Late Diagnosed Oral Squamous Cell Carcinoma: A Case Report

Yıl 2024, Cilt: 11 Sayı: 3, 341 - 345, 23.12.2024

Aytaç Üzel , Alican Kuran , Fatma Aksakallı , Berkay Tokuç , Umut Seki , Enver Alper Sinanoğlu

https://doi.org/10.15311/selcukdentj.1410479

Öz

In malign neoplasms, oral squamous cell carcinoma (OSCC) is one of the important causes of mortality and morbidity. For this reason, early diagnosis of OSCC is of great importance. Since the first symptoms of OSCC cases are asymptomatic ulcers or painless swelling, it is known that there may be a delay in the diagnostic process due to both patient- and physician-related factors. In this case report, a 71-year-old woman was admitted to our clinic with the complaint of intraoral ulceration that had not healed for 6 months. In the anamnesis, it was learned that a tooth extraction procedure was performed six months ago due to pain and tenderness in the left mandibular region, but the complaints persisted. Intraoral examination revealed a painful ulcerated lesion on the left mandibular crest with irregular borders and a tendency to bleed. After incisional biopsy of the alveolar crest mucosa and underlying necrotic bone, histopathologic evaluation revealed a diagnosis of well-differentiated OSCC.
Key Words: Delayed Diagnosis; Etiology; Oral Ulcer; Squamous Cell Cancer

Anahtar Kelimeler

Delayed Diagnosis, Etiology, Oral Ulcer, Squamous Cell Cancer

Geç Tanı Konulmuş Oral Sküamoz Hücreli Karsinom Üzerine Etiyolojik Bir Bakış: Bir Olgu Sunumu

Öz

Malign neoplazmlar arasında oral sküamoz hücreli karsinom (OSHK) mortalite ve morbiditeye sebep olan en önemli nedenler arasında yer almaktadır. Bu sebeple OSHK olgularında erken tanı büyük bir önem kazanmaktadır. OSHK olgularının ilk belirtilerinin asemptomatik ülser ya da ağrısız şişlik olması nedeniyle, tanı sürecinde hem hasta hem de hekim kaynaklı faktörler sebebiyle gecikme yaşanabileceği bilinmektedir. Bu olgu sunumunda 6 aydır iyileşmeyen intraoral ülserasyon şikayetiyle kliniğimize başvuran 71 yaşındaki kadın hastadan alınan anamnezde, altı ay önce mandibular sol bölgede ağrı ve hassasiyet şikayeti sebebiyle diş çekim işlemi yapıldığı ancak şikayetlerinin devam ettiği öğrenilmiştir. Yapılan intraoral muayenede sol mandibular krette kanamaya meyilli, sınırları düzensiz ağrılı ülsere lezyon saptanmıştır. Alveolar kret mukozası ve altındaki nekrotik kemikten alınan insizyonel biyopsi sonrasında yapılan histopatolojik değerlendirme sonucunda iyi diferansiye OSHK tanısı konmuştur.
Anahtar Kelimeler: Etiyoloji; Gecikmeli Tanı; Oral Ülser; Yassı Hücreli Kanser

Anahtar Kelimeler

Etiyoloji, Gecikmeli Tanı, Oral Ülser, Yassı Hücreli Kanser

Kaynakça

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