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DE CASTRO, FERNANDO SILVA; ISRAEL, MÔNICA SIMÕES; MACIEL, ROSEMIRO MENEZES; ANTERO, SARAH APARECIDA FERREIRA; DAS CHAGAS, WAGNER PINTO; DE SÁ, JOSIANE COSTA RODRIGUES; DE CARVALHO, CLAUDIA CRISTIANE BAISEREDO
Oral surgery, oral medicine, oral pathology and oral radiology, January 2020, 2020-01-00, Volume: 129, Issue: 1Journal Article
The treatment of malignant neoplasm of the nasal upper airway presents a high morbidity rate for patients. Radiotherapy is one therapeutic option. The patient undergoing head and neck radiotherapy treatment needs to perform a dental examination before, during, and after cancer treatment. A male African American patient, 52 years of age with a history of being a former smoker and alcoholic for 12 years, was diagnosed in 2005 with an oral squamous cell carcinoma in the left lateral lingual surface, clinical stage of T2 N0 M0, and treated with head and neck surgery with negative cervical lymph nodes. After 12 years, a routine examination showed an extensive exophytic ulcer on the hard palate spreading to the soft palate. An incisional biopsy was performed whose diagnosis indicated Merkel cell carcinoma, confirmed by immunohistochemical study. He was treated successfully with chemotherapy (cisplatin and etoposide). This report seeks to show how important is to stimulate dental surgeons to perform routine intraoral examinations.
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