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Volume 17, Issue 2 (2025)
Iran J War Public Health 2025, 17(2): 1001-1020 |
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Subject:
History
Received: 2025/05/28 | Accepted: 2025/06/19 | Published: 2025/04/21
Received: 2025/05/28 | Accepted: 2025/06/19 | Published: 2025/04/21
How to cite this article
Mortazavi H, Mir Mohammad Sadeghi H, Dalirani S, Ladanmoghaddam M. Multiple Oral Squamous Cell Carcinoma in a patient with a history of chemical warfare. Iran J War Public Health 2025; 17 (2) :1001-1020
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URL: http://ijwph.ir/article-1-1605-en.html
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1- Department of Oral Medicine, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Department of Oral Surgery, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- Department of Oral Medicine, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran ,Mahsa.lm74@yahoo.com
2- Department of Oral Surgery, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- Department of Oral Medicine, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran ,
Abstract (246 Views)
Introduction:
Oral squamous cell carcinoma usually occurs primary and lonely. Multifocal is considered a rare complication. Various factors have been reported in the literature as contributing to the multiplicity of oral squamous cell carcinoma (OSCC) lesions. It is also possible that chemical warfare agents, due to their cumulative effects, may play a role in the development of multiple lesions.
Case report: A 60-year-old male patient with history of chemical warfare and the chief complaint of a painful ulcer in his mouth from the past two months referred to us at Shahid Beheshti Medical University. Intra‑oral examination revealed multifocal White non removable non-homogenies plaque lesion on the left pterygomandibular, left maxillary mucosa and on the anterior mandibular ridge. Incisional biopsy of lesions was performed from all sections. The final diagnosis was early invasive squamous cell carcinoma.
Conclusion:
In patients with head and neck cancer, particularly squamous cell carcinoma (SCC), in addition to risk assessment, inquiring about a history of participation in war may also be helpful.
Oral squamous cell carcinoma usually occurs primary and lonely. Multifocal is considered a rare complication. Various factors have been reported in the literature as contributing to the multiplicity of oral squamous cell carcinoma (OSCC) lesions. It is also possible that chemical warfare agents, due to their cumulative effects, may play a role in the development of multiple lesions.
Case report: A 60-year-old male patient with history of chemical warfare and the chief complaint of a painful ulcer in his mouth from the past two months referred to us at Shahid Beheshti Medical University. Intra‑oral examination revealed multifocal White non removable non-homogenies plaque lesion on the left pterygomandibular, left maxillary mucosa and on the anterior mandibular ridge. Incisional biopsy of lesions was performed from all sections. The final diagnosis was early invasive squamous cell carcinoma.
Conclusion:
In patients with head and neck cancer, particularly squamous cell carcinoma (SCC), in addition to risk assessment, inquiring about a history of participation in war may also be helpful.
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