ORAL SQUAMOUS CELL CARCINOMA
Oral squamous cell carcinoma is a malignant tumor that may occur anywhere within the oral cavity. It is locally invasive, infrequently metastasizes to ipsilateral regional lymph nodes, and rarely spreads to distant sites. CASE REPORT: A 29 year old patient came to the OPD with the chief complain of an ulcerative exophytic growth on both sides of the tongue for more than 4 months. He's anemic and foul smelling from the mouth with poor oral hygiene. He had a habit of gutka/Mawa chewing since age 12. CT scan shows 5 to 10 mm axial slices obtained from base of the skull up to lung apices with IV contrast. Multiple enlarged lymph nodes seen at bilateral cervical level I more so on right side. One of the lymph nodes at level 2 on right side measures approximately 1.6 X 1.4 cm and it is also showing internal necrosis. Ill-defined ulcerated infiltrative mass seen in tongue on right side. It was involving floor of the mouth. Inferiorly it had indistinct fat planes with left submandibular gland Involvement. It was extending along the right lateral wall of oropharynx causing its assymetry and narrowing. Imaging findings raised the possibility of malignant neoplastic mass involving right lateral border of the tongue with extensions along the right lateral wall of oropharnx metastatic lymphadenopathy. Result: The case is inoperable and will be referred for palliative radio/chemotherapy.