These lesions may persist for a few days or even several weeks, especially in the case of tongue ulcers due to repeated insults to the tissues [ 5, 33 ]. The borders of traumatic ulcers are usually slightly raised and reddish, with a yellowish-white necrotic pseudomembrane that can be readily wiped off (Figure 3) Lesions affecting the tongue represent a substantial portion of oral mucosal lesions. According to the National Health and Nutrition Examination Survey (NHANES), the prevalence of tongue lesions at any given time is 15.5%. 1 Many large scale, population-based screenings have identified the most common conditions affecting the tongue, however, these were performed on specific groups and the.
Squamous cell carcinoma can occur anywhere on the oral mucosa, but is most common on the ventral and lateral surfaces of the tongue, floor of the mouth, soft palate, tonsillar pillar area, and retromolar trigone areas. Superficially invasive, or early, squamous cell carcinoma lesions appear as surface lesions rather than soft tissue enlargements Squamous Cell Carcinoma on the Tongue. Here's a little less obvious lesion. It's kind of erosive like erythroplakia, regular, slightly raised leukoplakia but this is also a squamous cell carcinoma along the lateral border of the tongue A fibroma usually appears as a submucosal, smooth, pink nodule on the lateral border of the tongue, buccal mucosa, or lower lip where there is chronic irritation from biting or friction. These lesions are asymptomatic and do not have a malignant etiology. Management comprises monitoring and surgical excision A healthy 60-year-old patient presents for a routine dental recall visit; on examination, you find a well-defined sessile vascular lesion on the left lateral border of the tongue. She tells you it's been there for decades. It has not changed in size and does not cause any pain. Upon palpation, it does not blanch
Some dentists use additional technologies to look for or characterize suspicious lesions (known as diagnostic adjuncts). It is essential to establish an accurate diagnosis for all such lesions that raise suspicion. Figure B: Leukoplakia on the left lateral tongue in a non-smoker. The biopsy showed premalignant changes (dysplasia) The most common benign epithelial neoplasm of oral epithelium, squamous papilloma lesions may be found anywhere in the mouth with a predilection for the ventral tongue and frenum area, palate, and. A small leukoplakic lesion with a rough, granular surface on the posterior lateral border of the tongue. The biopsy revealed early invasive squamous cell carcinoma. Such a lesion would be easily missed during an oral examination unless the tongue is pulled out and to the side to allow visualization of this high-risk site
Intraoral lymphangiomas are rare and arise mainly in the buccal mucosa, lips, palate, and lateral and posterior surface of the tongue. The main problem caused by such lesions is macroglossia that causes limitation of tongue movement, bleeding on trauma, and sleeping apnea. They may be superficial or deep Morsicatio: Most common location of the white lesion is on the anterior buccal mucosa, labial mucosa and lateral border of tongue which exhibits a ragged surface. White coated tongue : Dorsal aspect of the tongue is diffusely involved due to many reasons starting from fever to anu viral disease a white layer is seen covering the oral mucosa
Excision of a white lesion in the right lateral border of tongue. The pathology report after incisional biopsy performed three weeks before was a moderate to.. A 60-year-old man from a rural area of Saltillo, northern Mexico, came to our institution presenting an ulcerated lesion on the left lateral border of the tongue of 1.5 cm of diameter. According to the patient the lesion has been growing for the last 5 months (Figure 1). He is a nonsmoker, with no evidences of any systemic disease A small yellowish pink nodule on the left posterior lateral border of the tongue. The lesion was yellowish pink in color and measured approximately 6 mm in diameter. Focal white surface changes were noted at the posterior aspect of the nodule. Neither pain nor discomfort was elicited upon palpation. Excisional Biopsy and Photomicrographs Skin manifestations of the disease include papule, nodules, and verrucous lesions that may evolve to an ulcer or abscess. Coccidioidomycosis typically involves the lungs and rarely presents in the mouth. A 60-year-old man from northern Mexico presented with a 1.5 cm ulcerated lesion on the left lateral border of the tongue
During a flare up, lesions exhibit multiple red patches that range in size between 0.5 cm and 1.5 cm in diameter, due to atrophy or loss of the filiform papillae. Lesions appear as red patches surrounded by elevated, thin white-to-yellow borders (Figure 1 and Figure 2). 9 Lesions can also be multifocal. Geographic tongue is sometimes referred. The differential diagnosis of a red and white lesion with or without ulceration on the lateral tongue should include frictional keratosis, i.e., chronic tongue chewing. Frictional keratosis can be of chronic duration and the patient would typically confirm that trauma is present. It can occur at any age and has no gender predilection The effects of the habit of chronic biting may also manifest on the anterior and lateral borders of the tongue and appear as white, shaggy or mildly wrinkled plaques (see image below). Oral frictional hyperkeratosis of the lateral border of the tongue from chronic biting habit Results: Of the 22 patients with leukoplakia of the lateral tongue, 59.1% had coexistent malignancy, including nine squamous cell carcinomas and four verrucous carcinomas. Incisional biopsy resulted in underdiagnosis in 73.3% of the cases. Underdiagnosis was attributable to three common errors, which were mis-selection of sampling site within a.
A 14 year old boy have experienced pain and swelling from a depression of the lateral border of his tongue Because of the induration of the lesion, SSC was suspected which was confirmed by the punch biopsy result. SSCs are usually solitary ulcers though could rarely be multifocal (10). The observation of multifocal area of erythema on the lateral border of the tongue in this patient may represent one of the rare cases reported in the literature No white lesion on the lateral border of tongue had been seen in any patient before treatment, nor were any evident 1 year after treatment. Leucocyte counts were significantly (P=0.001) lower when the lesion was present than when it was not detected. Before chemotherapy, 70.4% of patients with lesions and 47.6% of patients without lesions had. tiple lesions with a clustered or diffuse distribution. Typically, these lesions are found on the anterior tip or lateral border of the tongue, but occasionally a more generalized papillitis is ob-served on the dorsal surface. A characteristic feature of this condition is that the pain is disproportionate to the size of the lesion Here is another traumatic lesion of the oral cavity on the right lateral border of the tongue. We see it is a well-defined ulceration with slightly raised in white borders. In the second image, we have a biopsy and see the overlying epithelium and the ulceration where there is no epithelium
White lesion (leukoplakia) involving left lateral border of tongue (ellipse) which proved on histology as hairy leukoplakia. Biopsy site marked as (+). Retroviral disease needs to be ruled out Symptoms: Sore on lateral side of tongue which was red and indurated. The left lateral border of my tongue 'puckered'. The difference between the two sides was noticeable when I extended my tongue. At the center of the puckered area was a vertical slit. It looked like a large paper cut, but did not bleed On intraoral examination, an ulcer measuring 10x8 mm with red base and white margins was found on the right lateral border of her tongue ().A similar lesion was present on the left lower border with much smaller dimension ().Caries history was very significant leading to many restored teeth with amalgam and composite In other people, the most common sites for cancer include the lateral borders of the tongue, the floor of the mouth, and the oropharynx. Human papillomavirus (HPV) infection, especially type 16, is a risk factor for oral cancer, primarily in the tonsils and at the base of the tongue; at these sites, HPV16 has surpassed tobacco as the primary. B) SCC of the lateral border of the tongue. Ulcerated mass on the right posterior-lateral border of tongue was biopsied and proven to be SCC. Patient history sig-nificant for poorly controlled erosive lichen planus. C) Squamous cell carcinoma of lower lip. An asymptomatic, non-healing ulcer was present for 4 months on the lower lip. Patient had.
lateral border of the tongue. The lesion was hardened, reddish and ses-sile. Although well delimited, it presented with an infiltrative and diffuse growth pattern (Figure 1). The presumptive clinical diagnosis was oral squamous cell carcinoma and an incisional biopsy was performed Upon oral mucosal inspection, a 15 mm x 15 mm leukoplakic lesion was detected on the right lateral border of the patient's tongue (figure 1). The patient stated that she knew about the lesion for the past few months and attributed it to constantly biting her tongue Dr. Eyal Simchi answered. See dentist: Lesions on the side of the tongue can be a variety of things. Have your father see his dentist. They may recommend a biopsy to evaluate further. 90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more In a tongue affected by geographic tongue, there are red patches on the surface of the tongue bordered by grayish white. The papillae are missing from the reddish areas and overcrowded in the grayish white borders. Whitish/yellow discolouration of the tongue is frequently due to a yeast infection. The small patches may disappear and reappear in.
o frequently involved sites :-the floor of the mouth-the lateral border of the anterior tongue-the retromolar trigone. o Tobacco and alcohol are the main causes. o chronic irritation 7 S (Smoking or tobacco chewing, Sharp tooth, chronic dental Sepsis, Syphilis, Spirits, Spices & Snuffing) . Conditions associated with malignant transformation 1. Leucoplakia • White hyperkeratotic patches or. Patients with underlying immunodeficiency may have oral hairy leukoplakia, or white, hairy-appearing lesions on the lateral border of the tongue, caused by the Epstein-Barr virus. Recommended.
We report a case of schwannoma of the anterior two third of the tongue in a 33-year-old male patient, involving the left lateral border of the tongue [Fig. 1], which presented as a slow growing mass of the left lateral border of the tongue. A contrast enhanced CT scan, MRI, and histopathological correlation was done November 2010: Widespread Rough White Lesions of Left Mouth. This is a 58-year-old white male who presented to his dentist with a 9-year history of widespread white lesions involving the left buccal mucosa, left mandibular gingiva and left lateral border of tongue Cancer of the tongue, base; Primary malignant neoplasm of base of tongue; Primary squamous cell carcinoma of base of tongue; Squamous cell carcinoma, base of tongue; Malignant neoplasm of dorsal surface of base of tongue; Malignant neoplasm of fixed part of tongue NOS; Malignant neoplasm of posterior third of tongue; code to identify:; alcohol abuse and dependence (F10.-); history of tobacco. Oral Hairy Leukoplakia. Caused by Epstein-Barr virus (human herpesvirus 4) Most commonly affects immunocompromised patients (e.g. HIV) White, hyperkeratotic plaque that cannot be brushed off. Usually distributed along the lateral border of the tongue. Vertical white striations may appear hairy. Lesions are typically painless and benign Intraoral examination revealed a well-defined, slightly raised homogenous white patch on the posterior right lateral border of the tongue . There was a corrugated surface appearance. There was a.
Of those that occurred in the oral cavity, 50% of the lesions affected the tongue. 5 Typical presentation of tongue pathology dubbed COVID tongue includes loss or altered taste, burning, ulceration, inflammation, white/red patches of lesions, petechiae, and a whitish coating over the tongue (figures 2 and 3) . We present a case with lesion in the left lateral border of tongue to enlighten the readers to keep PG as a differential diagnosis while suspecting tumors of oral cavity, especially in older patients. Case Report Abstrac
Papillary lesion ventral tongue la pisică Din punct de vedere anatomic, pancreasul la pisică este divizat în patru porţiuni: duodenală, gastrică, anastomozică şi splenică. Sistemul canalicular al pancreasului la pisică este mai puţin variabil decât cel papillomas tongue câinelui, papillary lesion ventral tongue de cel al omului labial mucosa, palate, lateral border and dorsum of tongue. Premalignant lesions were more common in the tongue, whereas the floor of mouth was more involved by malignant lesions. Four cases.
lateral border of the tongue is the usual location and the lesion is often painless. Definitive diagnosis is made by biopsy, and the patient should be referred to an on- cologist for treatment. CONCLUSIONS A variety of both developmental and acquired tongue lesions have been reviewed. Familiarization with these specific lesions is recommended. The lateral borders and tip of the tongue remain uninvolved. 5. The etiology for hairy tongue is not well understood. It presents among healthy individuals, as well as those with debilitating health conditions Excision of a white lesion in the right lateral border of tongue Oral Squamous Cell Carcinoma on the Lateral Border of the Tongue: A Case Report Mohamed I Algowaifly1*and Ruba Khalid Alhadlaq2 1 General Practitioner, Saudi Arabia 2Medical Laboratories, Saudi Arabia *Corresponding author: Mohamed I Algowaifly, General Practitioner, Riyadh, Saudi Arabia; E-mail: Malgowaifly@gmail.com Rec date: May 21, 2016; Acc date: June 01, 2016; Pub date: June 08, 201 Commonly involves the lateral border of the tongue but may extend to the ventral or dorsal surfaces Lesions on the tongue are usually corrugated and may have a shaggy or frayed appearance mimicking lesions caused by tongue chewing May present as a plaque-like lesion and is often bilateral. Differential diagnosis: Hyperplastic candidiasi
There is a recent trend of oral cancer presentation among young people without traditional risk factors. Typical presentation is an ulcer on the lateral or ventral border of the tongue with pain that radiates. In many cases, the lesion was mistaken for trauma associated with tongue biting and valuable time was lost in delaying investigation Tongue hemangiomas is a relatively rare benign lesion which may be the origin of functional problems during mastication, deglutition or speaking 1. The main complication is a recurrent hemorrhage 1. Treatment depends on the size of the lesion, its location as well as the evolution stage 1. Additional contributor: C. Boukaaba, MD A wide range of pathologic processes may involve the floor of the mouth, the part of the oral cavity that is located beneath the tongue. They include lesions that arise uniquely in this location (eg, ranula, submandibular duct obstruction) as well as various malignancies, inflammatory processes, and vascular abnormalities that may also occur elsewhere in the head and neck Congenital vascular and nonvascular lesions make up the largest group of lesions. At our institution, 20 (74%) of 27 lesions involving the root of the tongue were congenital. In contrast, acquired lesions occur much more frequently in the adjacent sublingual and submandibular spaces and the base of the tongue
She informed me that it wasn't painful, however, it did appear to be growing in size. Clinical assessment revealed a large, white, irregular-bordered lesion on the left lateral side of her tongue, approximately 20x30 mm in size, with cauliflower-like, pedunculated fingers towards the anterior aspect of the lesion (figure 1) Buccal mucosa-usually unilateral, lateral borders of tongue, gingiva: Lesions resemble oral lichen planus (Reticular striae/plaque/red areas). Oral lichenoid lesions unlike lichen planus, are usually unilateral in presentation. Unilateral lesion in close association with amalgam restoration. History of bone marrow transplantation (GVHD) White Lesions of the Oral cavity is the pathological change in color of the Soft tissue in the Oral cavity, these lesions can be seen on Tongue, Buccal Mucosa, Floor of the mouth, Palate, Back of the mouth etc. Most White lesions of the Oral cavity are Benign and in most cases are Precancerous conditions which require immediate treatment The lesions usually occur on the buccal mucosa or lateral borders of the tongue A 38-year-old male patient presented to the local oral and maxillofacial surgery department with a 3-month history of a persistent ulcer on the left lateral border of the tongue. The ulcer had raised edges but was not painful to palpation
Geographic tongue or erythema migrans presents as multiple, well-demarcated patches of erythema surrounded by a thin, raised, whitish border. Characteristically, the lesions persist for a short time in one area, disappear within a few days, and then develop in another area tion revealed an ovoid well-circumscribed lesion measuring 2×2 cm on the posterior-lateral border of the left side of the tongue (figure 1). The over-lying mucosa was erythematous and the surface was smooth. The lesion was tender on palpation and hard in consistency. differential diagnoSiS 1.oliate papillitis F 2. fTraumatic fibroma 3 The doctor prescribed some antifungal medicines but of no avail. On intraoral examination, an ulcer measuring 10x8 mm with red base and white margins was found on the right lateral border of her tongue ( Figure 1). A similar lesion was present on the left lower border with much smaller dimension ( Figure 2) Whitehyperkeratotic plaques are very common. A burning sensation and pain are commonsymptoms. The lateral borders of the tongue, the buccal mucosa, and the gingivaare more frequently affected. Exfoliative cheilitis and perioral dermatitis mayoccur. The diagnosis is based on the history and the clinical features However, in patients with high-risk lesions (with moderate or severe dysplasia on histopathology or high-risk sites such as the lateral border of tongue or floor of mouth), excisional biopsy is the management of choice. Several methods are available, including laser ablation or formal excision
Oral cancer refers to cancer occurring between the vermilion border of the lips and the junction of the hard and soft palates or the posterior one third of the tongue. Over 95% of people with oral squamous cell carcinoma smoke tobacco, drink alcohol, or both. Early, curable lesions are rarely symptomatic; thus, preventing fatal disease requires. Small oral tongue lesions are difficult to appreciate due to apposition of soft tissues at rest and artefacts generated by dental amalgams. This maneuver improves detection and correct staging of small lesions in the oral tongue, particularly in the lateral border and apex. Image is acquired while the patient protrudes the tongue floor of the mouth, posterior lateral borders and ventral surface of the tongue: red, white, or combined red-and-white lesion; alteration of surface texture into granular, rough, fungating, papillary, and verruciform or crusted lesion; or existence of a mass or irregular ulceration with rolled border and induration on palpation
Intraoral examination showed good oral hygiene. There was an irregularly erythematous, asymptomatic lesion extending from the tip of tongue to the right lateral border of tongue surrounded by an elevated thick white border . Filiform papillae were absent Summary. The mouth is the facial opening of the gastrointestinal tract.The oral cavity, which is bounded by the lips anteriorly, cheeks laterally, and the oropharynx posteriorly, encloses the tongue, palates, gums, and teeth.The mouth's primary function is the initiation of the digestion process, which involves ingestion, chewing to break down food (mastication), the release of digestive. The lesion is a well-circumscribed, exophytic, 1.0 x 1.0 cm soft tissue enlargement of the right posterior lateral border of the tongue. The lesion does not bleed during examination. The lesion is firm, nontender and fixed to the surface mucosa and underlying structures the back of the tongue were atrophied, forming a well-dened erythema and white non-detachable plaques on the lateral border of the tongue. Cytopathological and histopathological exam results were compatible with a diagnosis of oral candidiasis. Topical antifungal medication led to subsequent regression of the tongue lesions. During asympto •Geographic tongue •Circinate white lesions with a red denuded surface (depapillation) •Lesions spontaneous resolve then reappear at other tongue sites •Primarily on dorsum, yet can have lesions on ventral aspect or even lips and buccal mucosa (Erythema migrans) •Parakeratosis with subacute mucositis •Tx: none, brush tongue
The lesion may vary in appearance from a smooth, flat, and small lesion to an irregular hairy or feathery lesion with prominent folds or projections. It may occur as either a continuous or discontinuous lesion along the lateral border of the tongue and is often not symmetrical bilaterally 3.2.2. Base of Tongue • Early lesions are usually submucosal and relatively soft. Because the surface of the BOT is irregular, it is difficult to palpate the mass. Rigid or flexible endoscopes permit examination in some patients. • Palpation through the lateral floor of the mouth can be helpful to detect anterior extension
On the lateral border of the tongue b. Within bone c. On mucosal surfaces other than the tongue d. The dorsal surface of the tongue ANS: C Ectopic geographic tongue is also called stomatitis areata migrans and is found on mucosal surfaces other than the tongue. Geographic tongue may be seen on any surface of the tongue, including the lateral. High-resolution ultrasound shows a well-defined heterogeneous predominantly hyperechoic lesion in the left lateral border of the tongue, measuring approximately 2.29x1.59 cm. Chaurasia A,Department of oral medicine and radiology,King George Medical university,Lucknow, INDI Leukoplakia of the tongue A 75-year-old man presented to the den-tistry and oral surgery department with an asymptomatic white spot on the right lateral border of the tongue that had been present for an unknown period of time. He had a history of hypertension. He drank alcohol almost ev-ery day, but he had never smoked