Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.ONCOLOGY CASE PRESENTATION

1. CASE PRESENTATION
UNHEALED ULCER
1
PRESENTED BY
Dr. RAHUL TIWARI
2ND YEAR MDS - PG Student
DEPT. OF ORAL & MAXILLOFACIAL SURGERY
SIBAR INSTITUTE OF DENTAL SCIENCES

2. PRELIMNARY DATA
 Patient name – V SUBHASH Date – 19/04/2016
 Age / sex – 30/M O.P.No. – 802888
 Occupation – Religion – HINDU
 Marital status – MARRIED Socioeconomic status – FAIR
 Address – PARIYALA, VIJAYWADA Contact no. – 09948841222
2

3. PATIENT CHIEF COMPLAINT
 Patient complains of burning sensation of tongue since 3 months.
3

4. HISTORY OF PRESENT ILLNESS
 Pain- continuous, mild, aggravates on food and functional movements
during talking, mastication.
 Initially was a small vesicle and gradually increased.
 Visited near RMP and advised medication for pain.
4

5. HISTORY
 Past Medical History – NRH
 Past Dental History – 1ST VISIT
 Family History – FATHER KNOWN HYPERTENSIVE
 Personal History – occasional drinker and used khaini for 3 months and
stopped before a year.
 Drug History -NRH
5

6. EXTRA ORAL EXAMINATION
 No gross asymmetry detected
 Mild swelling present on right side of the face
 Infra orbital region to inferior border of the mandible
 Corner of mouth to tragus
6

7. INSPECTION & PALPATION
Middle to post part of tongue
Extending to floor of mouth Rt. Side.
No local rise in temperature
Non tender
Compressible
Inspectory findings are confirm
Sub mandibular LN tender bilaterally
0.5 x 0.5 cm, firm consistency, movable
7

8. 8

9. Solitary Ulcer of 2 x 1 cm 9

10. INTRA ORAL EXAMINATION 10

11. OCCLUSION 11

12. INVESTIGATIONS
 Hematological
 Biopsy
12

13. CLINICAL DIAGNOSIS
 Chronic non healing ulcer on lateral border of tongue on right side.
 Candidal leukoplakia on right side of tounge.
13

14. THANK YOU 14