Hard Palate Perforation in an Elderly Man With Dementia.
| Autor: | Mughal MS; Internal Medicine, Monmouth Medical Center, Long Branch, USA., Kaur IP; Internal Medicine, Monmouth Medical Center, Long Branch, USA., Akbar H; Department of Internal Medicine, Abington Jefferson Hospital, Abington, USA., Abbas SH; Pathology, Saint Barnabas Medical Center, Livingston, USA.; Pathology, Monmouth Medical Center, Long Branch, USA., Angi P; Geriatrics, Monmouth Medical Center, Leon Hess Cancer Center, Long Branch, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2021 Jun 23; Vol. 13 (6), pp. e15872. Date of Electronic Publication: 2021 Jun 23 (Print Publication: 2021). |
| DOI: | 10.7759/cureus.15872 |
| Abstrakt: | A 74-year-old male with a history of mild cognitive impairment presented to the emergency department with failure to thrive and generalized weakness. He was having difficulty swallowing leading to 30 pounds of unintentional weight loss in the last three months. His social history was significant for 12.5 pack-year smoking and drinking (two to three glasses of wine/day). The oral cavity examination revealed a large (3 × 2 cm 2 ) defect with the erythematous border that encompassed the mid-palatal structures and emanated from the hard palate into his nasal cavity. Auto-immune work-up was negative. Palatal biopsy showed squamous cell carcinoma (SCC; well-differentiated). A diagnosis of locally advanced (stage IVa) oral cavity squamous cell carcinoma (OSCC) was made based on PET scan findings. A palatal obturator (prosthesis) was placed to improve his eating, prevent regurgitation. The patient opted for palliative care and did not want to pursue further treatment. He was discharged home with a regular follow-up visit. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2021, Mughal et al.) |
| Databáze: | MEDLINE |
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