Concurrent Challenges: Squamous Cell Carcinoma, Oral Submucous Fibrosis, and Psoriasis vulgaris - A Case Report

Abstract

The case report is of the patient reported to the OPD having a chief complaint of fungal infection on the right lower front part of his tongue. Clinical features were presented by the symptoms of OSF such as limited mouth opening and diffuse mucosal fibrosis. The patient’s risk factors include the previous diagnosis of psoriasis, the immunomodulatory treatment, smoking, as well as the regular use of gutka and also chalia. A closer look using an OPG X-ray and also a biopsy revealed an SCC of 4-5 cm in diameter with distinct peripheries and a high rate of tumour growth index, suggesting a high growth rate. The lymphovascular invasion was very negative and the disease was also localized to the oral cavity. The management plan was an interdisciplinary method, which included surgical intervention, radiation therapy and chemotherapy, targeting the risk factors of tobacco and also betel nut use. The case illustrates the need for an interdisciplinary approach towards the diagnosis and management of oral health disorders, particularly in the presence of high-risk factors for malignancy such as SCC. The regular check-ups are to monitor the response to the treatment and also the recurrence. The purpose of this report is to show the contribution of clinicians in the early detection and appropriate treatment of oral health diseases.