Background: Ulceroproliferative lesions of the oral cavity are clinically significant
because they may mimic or represent early stages of oral squamous cell carcinoma
(OSCC). Chronic non-healing ulcers associated with tobacco and alcohol use
require prompt diagnosis and management to prevent malignant transformation.
Case Report: A 60-year-old male presented with complaints of itching and burning
sensation of the tongue for 20 days. The patient had a history of tobacco chewing,
chutta smoking, alcohol consumption, and topical application of ayurvedic
medication.
Discussion: Chronic oral ulcers persisting beyond two weeks warrant thorough
evaluation due to their potential association with oral malignancies. Long-term
tobacco and alcohol exposure are major risk factors contributing to epithelial
dysplasia and carcinogenesis. Early recognition, biopsy, and histopathological
assessment are essential for accurate diagnosis and timely intervention.
Conclusion: Chronic ulceroproliferative lesions should be considered potentially
malignant until proven otherwise. Early diagnosis, elimination of risk factors, and
appropriate management are crucial for improving prognosis, reducing morbidity,
and enhancing patient survival. management