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A CASE REPORT
A 16 years old Myanmar boy presented with a
non healing ulcer of the right cheek of 4
months duration in late April 2007.
The ulcer is not associated with pain.
The ulcer measuring about 1 x 1 cm in greatest
dimension is seen on the right cheek directly
below the ala – tragus line. The surrounding
tissue is erythematous and indurated.
Slough and pus noted. The base of the ulcer
appears raw The central portion of the ulcer is
fixed to the underlying muscles.
Intra-orally the was no communication with the
buccal mucosa. 46 retained root noted intra
orally, no pus discharge, swelling or sinus noted.
On percussion no tenderness noted on 46.
On full physical examination, patient appears
healthy with no signs of jaundice or anemia.
Patient looks well hydrated. There are no
similar lesions noted in any part of his body.
Right Submandibular lymph nodes are not
palpable, the deep cervical lymph nodes are
not palpable bilaterally.
Patient complaint of having cough about 4
months ago. The symptom resolved without
any medication after one month. He has no
high risk habits.
Patient past medical history revealed no
significant event.
Patient is currently working
Investigation
Diagnostic Radiology
OPG
left lung.
RADIOGRAPHIC
IMAGES
Blood investigation
Full blood count