AI Article Synopsis
- Paracoccidioidomycosis (PCM) and oral squamous cell carcinoma (OSCC) are significant health concerns in Brazil, with both conditions occasionally presenting as single ulcers on the tongue dorsum.
- A study evaluated 9 patients (5 with OSCC averaging 70 years old and 4 with PCM averaging 51 years old) diagnosed with these conditions, revealing lesions that were mostly infiltrated and firm to the touch.
- The findings emphasized the importance of considering both PCM and OSCC in differential diagnosis for tongue ulcers, highlighting the necessity of incisional biopsy for accurate diagnosis and treatment decisions.
Article Abstract
Background: Paracoccidioidomycosis (PCM) is the leading cause of death among systemic mycoses in Brazil. On the other hand, oral squamous cell carcinoma (OSCC) is the most prevalent malignant neoplasm of the mouth. Both lesions rarely affect the tongue dorsum and may share similar clinical characteristics. This study aimed to retrieve cases of single oral ulcers diagnosed as PCM or OSCC.
Material And Methods: A cross-sectional retrospective study was conducted. All patients who had a single ulcer on dorsum of the tongue and confirmed diagnosis of PCM or OSCC were evaluated.
Results: A total of 9 patients (5 women and 4 men) were evaluated, 5 patients had OSCCs (mean age = 69,8 years old), and 4 patients PCM (mean age = 51 years old). Most of the lesions were infiltrated and indurated in the palpation exam. Duration ranged from 1 to 12 months (mean time of 5.2 months and 4.7 months for OSCC and PCM, respectively). OSCC was the main clinical diagnosis hypothesis.
Conclusions: Although uncommon, PCM and OSCC should be considered as a diferential diagnosis hypothesis in infiltrated ulcers on the tongue dorsum. Iincisional biopsy is mandatory to confirm the diagnosis and indicate the appropriate treatment.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249376 | PMC |
| http://dx.doi.org/10.4317/medoral.26518 | DOI Listing |
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