PREVIOUS SURGICAL APPROACH FOR THE TREATMENT OF CARCINOGENIC LESION ON THE LATERAL BORDER OF THE TONGUE: A CASE REPORT

The objective of the present study is to address the diagnosis of SCC characterized in clinical and histopathological aspects, as well as to emphasize the importance of the diagnosis and treatment for these conditions. A 53-year-old female, melanoderma, attended the Nilton Lins University Dental Clinic complaining of the presence of a large blister on the side of the tongue. In the intraoral clinical examination, the presence of an extensive bullous lesion with cleft characteristics was highlighted, positioned on the right lateral border of the tongue. In view of the aspects presented, the hypothesis of pathology with malignant characteristics similar to carcinoma was considered. Based on this hypothesis, an incisional biopsy was performed and sent to histopathology to confirm the suspicion of a malignancy. The surgical specimen was then immersed in a container containing 10% formaldehyde and sent to the Department of Pathology and Legal Medicine of the Federal University of Amazonas School of Medicine for histopathological analysis. After histopathological confirmation, the definitive diagnosis was well-differentiated squamous cell carcinoma. Therefore, the case addressed highlights the importance of early diagnosis of lesions in the oral cavity, increasing the chances of a favorable prognosis. The hypothesis was confirmed through the combination of clinical and histopathological characteristics, guiding the management and choice of the most appropriate form of treatment.