This collection of photos contains both cancer and non-cancerous diseases of the oral environment which may be mistaken for malignancies. Some contain a brief patient history which may add insight to the actual diagnosis of the disease. As you review these images and their descriptions, you will be presented with what the referring doctor originally diagnosed and treated the patient for.
An elderly woman with advanced sun-induced degenerative alterations of face and lips. Presented with midline ulcerated mass.
Diagnosis: Squamous cell carcinoma, arising actinic cheilitis
64-year-old male with a long history of cigarette smoking presents with an asymmetrical nodular mass in the retromolar region.
Diagnosis: Squamous cell carcinoma, nodular/exothytic
A 47-year-old male presents with a tender, well-defined ulceration of the left ventral tongue of 2 weeks duration.
Diagnosis: Erosive lichen planus
A 59-year-old female with a painless papillary mass of the left posterior mandibular alveolar ridge.
Diagnosis: Verrucous carcinoma
A 38-year-old a male presented with a white friable lesion of the maxillary gingiva which wiped off with a cotton swab, leaving a raw red base.
Diagnosis: Aspirin Burn
A 31 year old female noticed a flat grey/black asymptomatic alteration in the anterior floor of her mouth, of unknown duration.
Diagnosis: Amalgam tattoo
The patient is a 64-year-old male with granular nodular partially ulcerated mass of the anterior mandibular gingiva.
Diagnosis: Squamous cell carcinoma
A bilaterally symmetrical ulcerative process noted by this 41-year-old female, present for several months. The patient is a non-smoker and uses no alcohol.
Diagnosis: Squamous cell carcinoma
Red and white surface alteration which is centrally indurated/firm was noted on routine examination in this 70-year-old male. The patient has a long time history of tobacco and alcohol abuse.
Diagnosis: Squamous cell carcinoma
On a routine examination of a 52-year-old female a well defined red velvety lesion of the lower-left ventral tongue was observed.
Clinical Diagnosis: Erythroplakia Microscopic | Diagnosis: Squamous cell carcinoma
Slightly elevated crater form and firm asymmetrical lesion were found on routine oral examination of the left lateral soft palette.
Diagnosis: Squamous cell carcinoma
A 69-year female presented with a sharply defined palatal ulceration.
Diagnosis: Squamous cell carcinoma
A 48-year-old female presents with a hard gingival swelling that on X-ray consisted of dense bone which was contiguous with the cortex.
Diagnosis: Osteoma
An 8-year-old child evaluated for the superficial, ulcerated, irregular lesion.
Diagnosis: Tramatic ulcer (facticious)
The patient has a white lesion with irregular margins on the left ventral tongue. At the inferior aspect, there is a prominent red patch of tissue.
Diagnosis: Carcinoma in situ
Blood-based, firm, asymptomatic nodule of long duration was noted along the right buccal mucosa during routine examination.
Diagnosis: Irritational fibroma
This 46-year-old female presents with irregular ulceration of the ventral lateral tongue, which is surrounded by leukoplakia.
Diagnosis Edge biopsy revealed squamous cell carcinoma
A flat, painless lesion of the mid-third of the tongue, showed sharply defined borders. This lesion was noted subsequent to a long course of antibiotic therapy.
Diagnosis: Median rhomboid glossitis
A 55-year-old male noted loosening of the lower incisors. On exam, a granular to warty mass was noted on the gingiva extending into the labial fold.
Diagnosis: Well-differentiated squamous cell carcinoma
An elongated, heterogeneous, red, well-defined ulceration was observed on the left lateral aspect of the tongue of a 48-year-old male.
Diagnosis: Biopsy at several locations revealed dysplasia and carcinoma in situ.
In this patient, the anterior floor of the mouth, bilateral to the midline, demonstrated a vaguely marginated lesion, which was firm on palpation.
Diagnosis: Marginally invasive squamous cell carcinoma
In this patient, the buccal mucosa bilaterally showed red and white surface changes, with delicate keratotic striae enclosing a thin, but intact red area.
Diagnosis: Lichen Planus
This ulceration of the buccal mucosa was noticed during a routine oral examination after a dental extraction.
Diagnosis: Traumatic ulcer
The right lateral tongue of this patient demonstrated the presence of an indurated, painless ulcer of unknown duration.
Diagnosis: Early-stage squamous cell carcinoma
A 78-year-old female was evaluated for multiple macular pigmented lesions of the floor of the mouth and attached gingiva.
Diagnosis: Malignant melanoma
A densely papillary, white, exothitic mass with posterior ulceration was noted on the mandibular gingiva of this 72 year old male with a 55 pack/year history of cigarette smoking and heavy alcohol consumption.
Diagnosis: Papillary squamous cell carcinoma
A 68 year old female presented with a slightly white nodular alteration of the retromolar region.
Diagnosis: Squamous cell carcinoma
A bluish-red nodular mass was detected in the maxillary right quadrant of this 54 year old male.
Diagnosis: Peripheral giant cell granuloma
A 78 year old woman with a long history of tobacco and alcohol abuse, has difficulty opening her mouth. Examination revealed a foul smelling lesion extending superiorly and to the posterior.
Diagnosis: Squamous cell carcinoma
Read more on Oral Cancer. How you get it, how you treat and more.
