Lichen Planus? Leukemia? Carcinoma? of the Tongue. Presented by Dr. Francis W. Lynch.
A 33-year-old white man has noted a persistent lesion on his tongue for the past 13 years. The patient was examined at the Mayo Clinic in 1944, and a diagnosis of lichen planus of the tongue was entertained. He noted a lesion on his lower lip in 1956. Pathologic examination of a biopsy performed on the lip lesion in 1957 showed changes diagnostic of squamous-cell carcinoma. A surgical excision of the carcinomatous area was performed.
Physical examination reveals involvement of the dorsum of the tongue with thickened papules and plaques.
Dr. Hamilton Montgomery, Rochester, Minn.: In this case I believe Herman Beerman thought he saw some carcinoma in one of the sections, but I saw pseudoepitheliomatous hyperplasia and the picture of lichen planus in the other section.
Dr. Herman Beerman, Philadelphia: I thought I saw