Velayutham, Jeeven
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Whitish Patch over Soft Palate: A Case Report of Incidental Finding of Basaloid Squamous Cell Carcinoma Velayutham, Jeeven; Saniasiaya, Jeyasakthy; Bin Abu Bakar, Mohd Zulkiflee
Sumatera Medical Journal Vol. 6 No. 3 (2023): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v6i3.13272

Abstract

Background: Whitish lesion over the oropharyngeal mucosal lesion is traditionally attributed to benign lesions such as leukoplakia, oral candidiasis or lichen planus, which can be diagnosed through histopathological examination. Yet, performing a biopsy is prudent in all cases of persistent whitish lesions to rule out a more sinister pathology such as malignancy. Objective: To report an incidental finding of a whitish lesion in the soft palate of a gentleman who presented with otalgia and otorrhea, which turned out to be basaloid squamous cell carcinoma (BSCC). Methods: We performed a thorough examination in a patient presenting with ear symptoms, during which a whitish palatal lesion was incidentally discovered. Histopathological examination was carried out to confirm the diagnosis. Results: Histopathological analysis revealed that the whitish palatal lesion was basaloid squamous cell carcinoma (BSCC). Conclusion: Thorough, meticulous, and complete Ear, Nose and Throat examinations in all patients are crucial, as they enable early diagnosis of sinister pathologies, such as BSCC, even when presenting symptoms seem unrelated.