Your patient has been using chewing tobacco for 10 years. On physical examination, you observe a white ulceration surrounded by an erythematous base on the side of his tongue. The clinician should recognize that very often this is:

Question

Quizplus · Accepted Answer

Squamous cell carcinoma is often associated with the use of tobacco products, including chewing tobacco. The description of a white ulceration with an erythematous base in a patient with a long history of chewing tobacco use raises concern for this type of cancer.

Your Patient Has Been Using Chewing Tobacco for 10 Years