Patient History: A 68-year-old man presented with a 10-year history of a growth on the dorsum of the tongue. The lesion was asymptomatic, had not been previously treated, and had grown slowly and progressively. The patient had no relevant past medical history, smoked 20 cigarettes a day, used a dental prosthesis that he removed at night, and was undergoing treatment with nystatin mouthwashes (after meals) and omeprazole (20mg/d). Physical Examination: Examination revealed a coated tongue and along the dorsal midline a pinkish, lobulated plaque with a shiny surface and rubbery consistency (image attached).
No lymphadenopathies were detected on palpation of the craniocervical region. What is the possible diagnosis in this case? *This image based case is from Docplexus Editorial Team for educative purpose only. Image Source: Actas Dermosifiliograficas