Protezle iliþkili travmatik ülser olarak yanlýþ taný konulan oral skuamöz hücreli karsinom: Bir Olgu Sunumu

Kanser hastalýklarý, dünya genelinde olduðu gibi Turkiye’de de önemli halk saðlýðý problemlerinden birisidir. Aðýz kanserlerinin yaklasýk %90’ý çok katlý yassý epitelden gelisen squamoz hücreli karsinomadýr (SHK). Etyolojik faktorlerinden bir kýsmýný basta sigara, alkol kullanýmý, Human Papilloma virus (HPV) olmak uzere kotu agýz hijyeni, curuk ve travma sebebiyle butunlugu bozulmus sivri/ kýrýk disler ve uyumsuz protezlere baglý gelisen kronik lezyonlar olarak sýralayabiliriz. Birçok faktörün bir araya gelmesi SHK oluþma riskini arttýrmaktadýr. Bu yüzden aðýz lezyonlarýnýn tespit ve teþhisinde dikkatli olunmalýdýr. Diþ hekimleri, rutin aðýz içi muayenesinde aðýz kanserlerini tespit edip teþhis koyabilme kapasitesine sahip olmalýdýrlar. Bu olgu sunumunda 77 yaþýnda, tam diþsiz, kadýn hastanin alt çene sað tarafta implant üstü protezin örttüðü mukozada 8-9 aydýr iyileþmeyen aðýz ici lezyon proteze baðlý travmatik ülser olarak deðerlendirilmiþ, iyileþmemesine karþýn aðýz içi kanser olasýlýðý dikkate alýnmamýþ ve taný sürecinde zaman kaybedilmiþ olan bir SHK olgusu sunulmuþtur. Aðýz kanserlerinde erken taný sað kalým açýsýndan çok önemlidir. Diþ hekimleri iki hafta içerisinde iyileþmeyen lezyon varlýðýnda hastayý malinite açýsýndan deðerlendirmeli ve gerekli yönlendirmeleri yapmalýdýr.

Oral squamous cell carcinoma misdiagnosed as a denture-related traumatic ulcer: A case report

Cancer is one of the major public health problems in Turkey as well as worldwide. Cancer diseases, which are second in causes of death in the United States with a rate of 23%, are also second in Turkey and have risen to 20% in recent years with a rapid increase. Worldwide the 6th most common oral and oropharynx cancers are one of the major causes of morbidity and mortality. Approximately 90% of theoral cancers are squamosoz cell carcinoma forming from multilayered flat epithelium (SCC). Some of the etiological factors include smoking, alcohol use, Human Papilloma virus (HPV), poor oral hygiene, sharp and fractured teeth due to trauma, and chronic oral lesions associated with ill-fitting prostheses. The combination of many factors increases the risk of SCC formation. Therefore, special attention should be provided in screening and diagnosing oral lesions. Dentists should be able to identify and diagnose oral - oropharynx cancers during routine oral examination. In this case report, a SCC case of 77-year-old, complete edentulous female patient's oral lesion of mandible mucosa covered by the implant prosthesis on the right side was misdiagnosed as a traumatic ulcer due to prosthesis which has not healed for 8-9 months by ignoring the possibility of oral cancer and causing delayed diagnosis of SCC is presented. Early detection and diagnosis of oral cancers are very important for survival. Dentists should evaluate the patient in terms of malign lesions and facilitate the necessary referrals for oral lesions that do not heal within two weeks.