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Exam questionKROK 2Dentistry · 2017

A 53-year-old patient complains of an ulcer on the lateral surface of the tongue. The ulcer appeared 6 months ago in the result of a trauma caused by sharp tip of the 37 tooth metal crown. A dentist replaced the crown with the one of better quality and prescribed keratoplastic drugs. Despite these measures the ulcer continues to grow. Lately there has been pain during talking, chewing, and swallowing, with occasional irradiation to the pharynx. Objectively: on the lateral surface of the tongue there is a painful ulcer with uneven raised dense margins and lumpy floor covered with grayish necrotic coating. What is the most likely diagnosis?

Answer options

  1. Cancer of the tongue lateral surface
  2. Vincent’s necrotizing ulcerative stomatitis
  3. Trophic ulcer
  4. Traumatic ulcer
  5. Tuberculous ulcer
Correct answer

Cancer of the tongue lateral surface

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