Imaging findings of basaloid squamous cell carcinoma: a case report.
Varisa Assapattarapun, Hiroaki Shimamoto, Danielle Ayumi Nishimura et al.
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Case in brief
A 78-year-old male presented with persistent erythema, swelling, and pain in the anterior mandible, revealing an exophytic mass and cutaneous fistula. Initial suspicion of osteoradionecrosis was challenged by imaging findings. Panoramic radiography, CT, MRI, and PET-CT demonstrated a large, aggressive mass suggestive of basaloid squamous cell carcinoma (BSCC), confirmed by biopsy after resection.
Diagnostic / clinical pearl
Multimodal imaging is crucial in characterizing aggressive oral lesions, aiding in clinical decision-making, while histopathological examination remains essential for definitive diagnosis.
Why it matters
This case emphasizes the need for careful follow-up in patients with oral BSCC to ensure early detection of local recurrence and distant metastases.