Understanding the Lip Lesion Presentation
A 70-year-old male with a history of smoking presents with a specific clinical finding: a 1 cm ulcerative lesion located on the vermilion of his upper lip.
Evaluating Diagnostic Options
The question asks for the likely diagnosis among the given options, which represent different types of skin cancers:
- Squamous cell carcinoma (SCC)
- Basal cell carcinoma (BCC)
- Spindle cell carcinoma
- Adenoid squamous carcinoma
Identifying the Likely Diagnosis
Basal cell carcinoma (BCC) is the most common type of skin cancer and often arises on sun-exposed areas. While SCC is common on the lip, especially with risk factors like smoking, BCC can also present on the lip and characteristically appears as an ulcer that fails to heal.
Given the patient's age, the ulcerative nature of the lesion, and its location on the lip vermilion, BCC is a plausible diagnosis. The provided correct answer identifies Basal Cell Carcinoma.
Key clinical indicators:
- Lesion Type: Ulcerative.
- Location: Upper lip vermilion (a sun-exposed area).
- Patient Demographics: 70-year-old male.
- Risk Factor: Smoking history (increases risk for both SCC and BCC).
Based on these factors and aligning with the indicated correct answer, Basal cell carcinoma is the most likely condition.
Important Questions from Head
- A 40-year-old smoker presents with soreness of tongue since last 2 months. On examination, it is found that the oral hygiene is poor and there is a white plaque over the lateral border of the tongue. What is the next step in the management of this patient?
- Which of the statements regarding Salivary gland neoplasms are correct?
1. 80-90% of parotid tumors are malignant
2. 90% of sublingual gland tumors are malignant
3. 60-70% of submandibular gland tumors are benign
4. Parotid gland is most common site for salivary gland tumors
Select the correct answer using the code given below: - A young boy riding a motorcycle, met with a road traffic accident. On examination he had maxillofacial trauma with paraesthesia of the lower lip. Most likely underlying he has a:
- A patient operated for a parotid gland tumour developed symptoms of sweating and erytherma (flushing) over the region of surgical excision while eating. The probable diagnosis is:
- Ankyloglossia in a patient with carcinoma tongue is staged as
