fig1

Figure 1. The case of a 70-year-old and ex-smoker female patient with a human papillomavirus+ head and neck squamous cell carcinoma. We can see an exophytic lesion three years of evolution on the left floor of the mouth, surpassing the midline, with a progressive growth. The patient has no dysphagia or dyspnea. We decide to take biopsies, obtaining the diagnosis of squamous cell carcinoma