PMC5925021_01
Painful oral ulcer.
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fig1
There was 4 x 3 cm painful necrotic lesion that reached the tonsil (Figure 1), and a pathologic lymphadenopathy was palpated on the neck.
Histopathological image (haematoxylin-eosin stain; original magnification x200). Tumour is characterized by solid islands of atypical epithelial cells with prominent nucleoli, eosinophilic cytoplasm, and large hyperchromatic nucleus in fibrotic stroma.
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fig2
Incisional biopsy from the tongue was reported as SCC (Figure 2).
Positron emission tomography (PET)/CT with flourdeoxyglucose (FDG) showing an increased activity of SUVmax: 8, 26 in left parotid gland's posterior side, without distant metastases.
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fig3
Positron emission tomography/CT (PET/CT) with fluordeoxyglucose (FDG) showed an increased 18F-FDG activity (SUVmax: 8, 26) in the posterior side of the left parotid gland but no distant metastasis (Figure 3).