Case presentation A 78-year-old man presents to the oral surgery clinic with discomfort along the left lateral border of his tongue. He states that he first noticed a lesion on his tongue approximately four weeks ago, and since that time, it has progressively become larger and more bothersome. History A blade implant was placed in the patient's left mandible 15 years ago to restore the lower left first and second premolar teeth. He reports a 30-pack-a-year history of smoking, as well as occasional alcohol consumption.
Physical examination Upon physical examination, the patient appeared well-nourished and had no apparent discomfort. His vital signs, and cardiovascular, respiratory, and abdominal examination findings are normal. Head and neck examinations are negative for any gross swelling or lymphadenopathy. Intraoral examination reveals an indurated nodular mass 1 × 1 cm in diameter on…
