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Benign nevus inclusions in a node with primary squamous carcinoma of tongue

A 65-year-old female presented with an ulcerative lesion over the left lateral border of the tongue for six months which had increased in size gradually. There was a history of chewing betel nuts, pan masala and betel leaf. The biopsy of the lesion revealed squamous cell carcinoma, following which per oral wide-excision of the lesion with ipsilateral supraomohyoid neck dissection was done. Gross examination of the excised specimen of the tongue showed an ulcero-infiltrative tumor measuring 3.6 x 2.5 cm and the tumor was 1.4 cm in thickness. The nodes dissected from different levels ranged in size from 0.5 cm to 1.5 cm and were grossly unremarkable. Microscopically, the tumor of tongue was ...

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