Buccal Space Mass
Case History: 49-year-old patient with large buccal mass, history of leakage through mass.
Case History: 49-year-old patient presents with large buccal mass on left side, history of leakage of oral contents through mass.
49-year-old patient presents with large buccal mass on left side, history of leakage of oral contents through mass.
Figure 1. Shows a large mass in left buccal region.
Figure 2. Shows a large mass in left buccal region.
Figure 3. Shows heterogeneous enhancement in mass. Fistula seen in mass extending from oral cavity to skin (arrow marked).
Figure 4. Shows heterogeneous enhancement in mass. Fistula seen in mass extending from oral cavity to skin.
Figure 5. Mass seen infiltrating mandible bone on left with lytic areas.
Figure 6. Mass seen infiltrating mandible bone on left with lytic areas.
Contrast-enhanced CT face was performed, which showed a large mass in left buccal region.
Squamous cell carcinoma of the oral cavity is the most common (by far) of the malignant lesions affecting this region.
Epidemiology and risk factors are similar to squamous cell carcinomas elsewhere in the upper aerodigestive tract, with tobacco smoking and alcohol ingestion being major risk factors.
Over 75% of oral cavity SCCs occur in the lower lip, oral tongue, and floor of mouth.
The differential diagnosis for a squamous cell carcinoma of the oral cavity is essentially that of other malignant lesions of the oral cavity as well as a few non-neoplastic lesions.
Differential diagnosis also includes infection.
