Oral Cancer Pictures

Phemphigoid: Bullous phemphigoid is an auto-immune disease which causes blistering of the skin. It can involve the mucous membranes in 10% to 25% of patients. Blisters form when antibodies attack proteins in the basement membrane of the skin (between the dermis and epidermis). Many cases are self limited and go into remission in five years or less. However, severe cases may require treatment with corticosteroids and immunosupressive agents. Phemphigoid should not be confused with Phemphigus Vulgaris which is a much more aggressive disease. In Phemphigus Vulgaris antibodies attack proteins called desmogleins. Desmogleins are the proteins which hold the skin together. Diagnosis of Phemphigoid and Phemphigus requires biopsy.

Lichen Planus: This condition presents as a white lace like pattern on the inside of the cheeks. It can be confused with may other conditions and evaluation by a physician is mandatory to make sure other serious problems are not present. Often the condition is caused by a reaction to medications. Beta Blockers and oral hypoglycemics are the most common offending medications. Lichen Planus can also be associated with other conditions such as Hepatitis C. Treatment is with oral prednisone (5mg/ 5cc) rinses, mixed (1:1) with kopectate to allow the medication to stick to the oral mucosa.

Lingual Hemangioma. The picture on the right is a small peduncular hemangioma on the tip of the tongue of a six year old male.

Stomatitis: The pictures on the right shows a 47 year old male with an intraoral viral eruption 24 hours after exposure to caustic chemicals. This patient was also treated with Famvir (famciclovir) 500 mg three times a day for 7 days. The probable cause of these lesions is herpes simplex.

Lip Cancer: Cancer of the lip is a relatively common condition. When caught early, it is treatable with surgery or radiation therapy. Cancers of the lower lip have a better prognosis than those of the upper lip. Chronic sun exposure is the most common cause, but smoking can also be an etiology. The picture on the right shows a T2 N0 (tumor size between 2 to 4 cm, with no lymph node spread) squamous cell carcinoma of the lower lip. The patient was treated with surgical resection and reconstruction using an Abby-Estlander Lip Flap.



Torus palatinus is a hard bony growth in the center of the roof of the mouth (palate). It is not a tumor or neoplasm by a benign bony growth called an exostosis. This growth commonly occurs in females over the age of 30 and rarely needs treatment. Occasionally it is removed for the proper fitting of dentures.

Ankyloglossia or a persistent lingual frenulum is a congenital persistence of tissue which binds the tongue to the floor of the mouth. When severe, the frenulum should be cut to mobilize the tongue.

Acute Tonsillitis: This is a common condition which is usually caused by gram positive bacteria. If the organism is Streptococcal Pyrogenesis , there is a risk of developing Rheumatic Fever. Often multiple different bacteria exists in the tonsillar crypts, which can be difficult to culture. Treatment with antibiotics to prevent Rheumatic Fever or tonsillar abscess formation is usually advisable.

Source:http://www.entusa.com

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