The clinical examination revealed a 2x4 cm ulcerated white to red deep lesion on the left tongue involving most of the ventral tongue (Figure 1). The ulcer was deep and painful and was of three months' duration. The ulcerated surface was flat in some areas and had rolled borders in others (Figure 1). There were no palpable lymph nodes at the first presentation.
Figure 1 This photograph represents the lesion at first clinical presentation and before surgery. Note the diffuse deep ulcers on the left lateral and ventral tongue with focally rolled bordered.