SYPHILIS X CARCINOMA: HOW DIFFICULTIES IN COMMUNICATION WITH THE PATIENT CAN INTERFERE IN THE DEFINITIVE DIAGNOSIS

A 48-year-old male patient was referred to the Stomatology clinic due to a lesion on his lower lip. Upon clinical examination, a well-defined ulcerated lesion was identified, exhibiting indurated margins, situated on the left side of the lower lip, measuring approximately 1.5 cm. The lesion had been...

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Bibliographic Details
Published in:	Oral surgery, oral medicine, oral pathology and oral radiology Vol. 137; no. 6; p. e213
Main Authors:	DALLA COSTA, Joice, MIOZZO, Anna Flavia Carelle, MARTINI, Georgia Ribeiro, RIBEIRO, Júlia Turra, RAMOS, Grasieli de Oliveira
Format:	Journal Article
Language:	English
Published:	Elsevier Inc 01-06-2024
Online Access:	Get full text
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Summary:	A 48-year-old male patient was referred to the Stomatology clinic due to a lesion on his lower lip. Upon clinical examination, a well-defined ulcerated lesion was identified, exhibiting indurated margins, situated on the left side of the lower lip, measuring approximately 1.5 cm. The lesion had been present for about a month and was associated with pain. The patient had a 30-year history of smoking, had substantial sun exposure due to his occupation, and was currently undergoing medical treatment for bladder infection and prostate-related conditions. The initial diagnostic considerations included Syphilis and Squamous Cell Carcinoma (SCC). In light of these diagnostic possibilities, a rapid syphilis test was administered, yielding a negative result. Additional specific tests, such as Anti FTA-ABS and VDRL, were requested. The patient initially displayed reluctance in undergoing hematological exams and an incisional biopsy, seemingly due to a lack of comprehension regarding the seriousness of the situation. After consulting with the Basic Health Unit, he eventually consented to the biopsy, which revealed SCC. The patient was subsequently referred for oncological treatment.
ISSN:	2212-4403 2212-4411
DOI:	10.1016/j.oooo.2023.12.321