#Red And White Lesions of Oral Cavity Notes

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Red And White Lesions of Oral Cavity Notes

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Kiss of Death 

Pairings: Choi San/Jung Wooyoung

Genre: psychological thriller 

Chapter: 1/?

Word Count: 2.3K

Warnings: HUGE MENTIONS OF DEATH!!!! violence, murder, death of a loved one, psychological distress, stalking?, gaslighting/manipulation, graphic autopsy/medical descriptions

Summary: Serial Killer Wooyoung picks San as his next victim until he finds out that San is the Medical Examiner working his case. Keeping him around could be useful, couldn't it?

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Case No. : ME-854-03

Date of Examination: January 10, 2025

Autopsy Performed by : 

Choi San, M.D.

10 Ipchun-ro

Gangnam, Seoul 06000

Patient Information

Name: Jane Doe

Age: Unknown 

Sex: Female

Date of Death: 01/07/2025

Investigative Agency:

Seoul Metropolitan Police Agency

External Examination:

The autopsy begins at 8:30 A.M. on January 10, 2025. The body is presented in a black body bag. The victim is wearing a white sleeveless turtleneck shirt and black fitted jeans. Jewelry included two smooth textured gold hoop earrings, 1-inch diameter, one in each ear, and one 1-inch wide gold wristband on the left wrist. A 1.5-inch wide black leather belt is cinched around the under neck using the buckle. The opposite end of the belt is tied in a half-hitched knot, which was used to affix it to the crossbar in the closet where the body was found. 

The body is that of a Korean female measuring 67 inches, weighing 118 pounds, and appearing to be around 25 years of age. The body is cold and unembalmed. Petechial hemorrhaging is present in the conjunctival surfaces of the eyes. The pupils measure 0.3 cm. The hair is dark, wavy, layered, and approximately 11 inches in length at the longest point. 

Removal of the belt revealed a ligature mark (known throughout the report as Ligature A) on the neck below the mandible. Ligature A is approximately 1.5-inches wide and encircles the neck in the form of a “V” on the anterior of the neck and an inverted “V” on the posterior of the neck, consistent with the hanging. Minor abrasions are present in the area of Ligature A. Lack of hemorrhage surrounding Ligature A indicates this injury to be post mortem.

Upon the removal of the victim’s clothing, an odor of bleach was detected. Areas of the body were swabbed and submitted for detection of hypochlorite. Following the removal of the shirt, a second ligature mark was discovered (known throughout this report as Ligature B) on the victim’s neck. The mark is a dark red Ligature and encircles the neck, crossing the anterior midline of the neck just below the laryngeal prominence. The width of the mark varies between 0.8 and 1 cm and is horizontal in orientation. Ligature B is not consistent with the belt that caused Ligature A. The absence of abrasions associated with Ligature B, along with the variations in the width of the ligature mark, are consistent with a soft ligature, such as a length of fabric. No trace evidence was recovered from Ligature B that might assist in identification of the fabric used. 

Internal Examination

HEAD – CENTRAL NERVOUS SYSTEM: Subsequent autopsy shows a broken hyoid bone. Hemorrhaging from Ligature B penetrates the skin and subdermal tissues of the neck.

SKELETAL SYSTEM: The hyoid bone is fractured.

RESPIRATORY SYSTEM – THROAT STRUCTURES: The oral cavity shows no lesions. Petechial hemorrhaging is present in the mucosa of the lips and the interior of the mouth. No injuries to the lips, teeth, or gums. 

San continued to jot down the notes of his report. The rest of the victims' internal systems seem normal and in shape without lesions. “Do you think she’s connected with the other two?” his assistant asks from across the room, swabbing different parts of the body to be submitted to the forensics lab. San stared down at the ‘Opinion’ section of the report and took in a sharp breath through clenched teeth. The fractured bones, the bleach, the soft markings across her skin—on paper, it was just another case. But there was something about the way her eyes stared back, lifeless and accusing, that made his stomach churn. He knew this wasn’t just another body. As San’s pen scratched against the paper, his phone buzzed in his pocket. He ignored it at first, focused on the task at hand. But it vibrated again, insistently. He sighed, pulling it out with a gloved hand.

[Mingi]: wanna go out later? You look like you need a break. 

San lets out a breathy exhale and closes his phone. His pen hovers over the paper. He didn’t look up. “Maybe,” he said quietly, his voice flat but thoughtful. “It fits… but not perfectly.” He taps the edge of the report with his finger, the image of her lifeless eyes staring back at him. “I don’t know. Something feels… off.”

Opinion

Time of Death: Body temperature, rigor and livor mortis, and stomach contents approximate the time of death between 7:30 and 9:30 P.M. on 01/07/2025

Immediate Cause of Death: Asphyxia due to ligature strangulation (Ligature B). Ligature A is made post mortem.

Remarks: Decedent originally presented to this office as a suicide victim. Presence of the post mortem ligature mark suggest that suicide in this case is highly improbable. SMPA detectives were notified of this finding immediately upon conclusion of examination.

He pauses again, looking over his work and the very last section of the report he needs to fill in. 

Manner of Death: Homicide

// Choi San M.D.

Gangnam National Forensics Service Coroner’s Office

January 10, 2025

San scrawled his signature at the bottom of the report, then exhaled sharply as he peeled off his gloves and tossed them into the bin with a soft thud. Sliding the report into the victim’s chart, he muttered, “Let’s hope we find whoever did this before there’s another one.” He glanced over at his assistant, watching as Hongjoong carefully draped a plastic tarp over the body before rolling her back into the cold, sterile compartment where she’d been found. 

As the compartment door sealed with a hollow click, San straightened and ran a hand through his hair, his other hand firmly on his hip. He glanced at the evidence bags laid out on the tray, the swabs and samples neatly labeled. “I’ll take these to the lab myself,” he said, his voice low but decisive. “I want to make sure they’re handled right—and fast.” He grabbed the tray, his gaze lingering on the cold compartment for a beat longer before turning toward the door, the weight of unanswered questions following close behind. 

The sterile, fluorescent-lit hallway felt colder than usual as San carried the tray of samples toward the lab. His footsteps echoed off the tile, each one syncing with the thrum in his temples. He’d told himself this was just another case—another report to file, another unknown to add to a growing list of victims—but the lie felt heavier with every step.

It wasn’t just another case.

The small details from the crime scene, the faint chemical bite of bleach clinging to her skin—it all mirrored the one burned into his memory. Her apartment had smelled the same. Her eyes had stared back at him, wide and empty, accusing him of not being there when it mattered.

San clenched his jaw, his grip tightening around the tray until the plastic evidence bags crinkled under his fingers. He couldn’t shake the feeling that this wasn't a coincidence. That whoever had taken her from him was still out there, perfecting their work, leaving just enough behind to be found—but never enough to catch them.

And now, everybody that came through his morgue wasn’t just a victim—it was a reminder. A failure.

—

The soft hum of the lab equipment had long faded, replaced by the steady tick of the clock on the wall—each second louder than it should’ve been. San stared at the stack of results spread across his workspace, the bright lights hanging above him casting a harsh glare over the blank spaces where answers should’ve been.

Nothing.

The tox screen was clean. No unusual fibers, no DNA, no fingerprints. Even the bleach traces were too faint to trace back to anything specific. It was like the killer had been a ghost—methodical, precise, and just out of reach.

San ran a hand over his face, feeling the stubble rough against his palm. He’d been here for hours, but the exhaustion didn’t hit as hard as the frustration did. They’d been this careful, too. Whoever did this wasn’t just killing—they were taunting him.

And he was no closer to stopping it than he was before.

He shoved the useless stack of reports aside, the papers sliding off the desk with a soft rustle. He exhaled sharply, pushing back from his chair and grabbing his coat off the backrest. The lights felt harsher now, like they were spotlighting his failure.

He made his way back to the morgue, the sterile scent of antiseptic growing stronger. The chill in the room greeted him like an old friend as he gathered his things, but just as he slung his bag over his shoulder, his phone buzzed in his pocket.

With a sigh, he pulled it out, the text from Mingi still appearing in his recent notifications.

San stared at the screen for a long moment, thumb hovering over the keyboard. The idea of a crowded bar, loud music, and forced smiles felt like another world. But maybe that’s exactly what he needed—to forget, even if just for a few hours.

Or at least pretend to.

San stared at the message a moment longer before his thumb finally moved. “Yeah, I’ll meet you there in an hour.” The words felt heavier than they should’ve, but he hit send anyway. Maybe a drink would help. Or maybe it would just drown out the thoughts for a while. He stuffed the phone back into his pocket as he pushed open the morgue door and stepped into the cold night to get home and wash up before meeting.

—

The bar was dimly lit, tucked into a side street where the neon signs flickered just enough to make it feel alive. When San pushed through the door, the warmth and noise hit him like a ton of bricks—laughter, clinking glasses, the low hum of music vibrating through the floorboards. It was a sharp contrast to the sterile silence of the morgue.

Mingi was already at a corner table, waving him over with a grin that faded into concern the moment he got a good look at San. “Damn, you look like you’ve been through it,” he joked, sliding a glass across the table. “You need this more than I thought.”

San managed a faint smile, sinking into the seat across from him where the drink that Mingi had ordered for him was already sitting. The glass was cool in his hand, but it did nothing to settle the tightness in his chest. “Rough day,” he muttered, taking a sip, though the burn of the alcohol barely registered.

Mingi watched him for a moment, his easy going demeanor softening into something more serious but still awkward. “It’s that case, isn’t it?”

San didn’t answer right away. He just stared down at the drink, the reflection of the bar lights dancing across the surface. It’s always that case, he thought, but what came out was simpler.

“Yeah,” he said quietly. “It’s the case.”

Mingi leaned back in his chair, watching San over the rim of his glass. “You’ve been like this for weeks, man. Ever since…” He trailed off, but the weight of what he wasn’t saying hung in the air between them.

San’s jaw tightened. He didn’t want to go there—not now, not with people laughing and music pounding in the background like none of it mattered.

He sighed softly and leaned back in his chair, mirroring his friend and finally letting his features relax. “I’m fine,” he muttered, but the words felt hollow even to him.

Mingi snorted. “Yeah, sure.” His eyes rolled, “You’ve got ‘fine’ written all over you.” He took another sip, then set his glass down with a soft clink. “Look, I get it. But maybe you need to step back for a bit. Clear your head.”

San didn’t respond. Clear his head? How was he supposed to do that when every time he closed his eyes, he saw her face—or now, the face of the newest victim in the morgue? 

Mingi must’ve sensed he wasn’t getting through, because he sighed and shifted gears. “Alright, fine. No more case talk.” He waved down the bartender for another round. “But hey, did you hear about that weird exhibit opening at the gallery downtown? Some guy’s been putting together these creepy-ass installations—looks like crime scenes or something. People are calling it ‘disturbingly realistic.’” He chuckled, shaking his head. “You’d probably get a kick out of it, morbid bastard.”

San froze, the words lodging in his mind like a splinter. Disturbingly realistic.

His pulse quickened, but he forced a neutral expression. “What gallery?”

Mingi’s story faded into the background as San’s attention drifted, his gaze settling on the crowd near the bar. The low hum of conversations blended with the clink of glass, but it was a figure at the far end that caught his eye—someone he hadn’t noticed when he walked in.

A man, sitting alone, casually nursing a drink. There was nothing particularly remarkable about him at first glance—well-dressed, but not flashy. Dark hair, clean-cut, with an easy, relaxed posture like he belonged there, like the world couldn’t touch him. But something about the way he was watching the room made San’s stomach tighten. It wasn’t the usual aimless people-watching. This guy was observing, like he was cataloging details for later.

Their eyes met for a split second—long enough for San to feel a flicker of something he couldn’t quite place. Not recognition, but a strange, unsettling familiarity.

“Hey,” Mingi’s voice cut through his thoughts. “You good?”

San blinked, pulling his eyes away. “Yeah. Just… thought I recognized someone.”

Mingi raised an eyebrow but didn’t press. “Well, if you’re about to go full cop mode, at least finish your drink first.”

San smirked faintly, but before he could respond, a shadow fell over their table.

“Mind if I join you?”

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A/N: I haven't written properly in ages let alone post what I write so this is just testing the waters for right now. As for the medical stuff it may not be 100% accurate but I tried my best with the research I could do. I WOULD LOVE FEEDBACK, I'm halfway through writing the second chapter and would appreciate anything to let me know that it would be worth posting. :)))

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Mouth Cancer Action Month: Preventing Oral Cancer

November is Mouth Cancer Action Month, an important initiative that aims to raise awareness about oral cancer and the crucial role of prevention and early detection. Oral cancer, which includes cancers of the mouth, lips, and throat, is a serious and potentially life-threatening condition. However, the good news is that many cases of oral cancer can be prevented. In this article, we will explore the significance of Mouth Cancer Action Month and what an oral surgeon in Summerville suggests to avoid mouth cancer.

Understanding Oral Cancer:

Oral cancer occurs when there is an abnormal and uncontrolled growth of cells in the oral cavity or throat. It can affect various parts of the mouth, including the lips, tongue, cheeks, and the soft and hard palates. The leading causes of oral cancer are often related to lifestyle choices and habits, making it a preventable condition in many cases.

The Importance of Early Detection:

Early detection is a key factor in successfully treating oral cancer. When detected in its early stages, the chances of a full recovery are significantly higher. Routine dental check-ups are essential for early detection, as dentists are trained to recognize the signs and symptoms of oral cancer.

Preventive Measures for Mouth Cancer:

The best oral surgeon in Summerville emphasizes the importance of taking proactive steps to reduce the risk of developing oral cancer. Here are some preventive measures:

1. Tobacco and Alcohol Avoidance:

Tobacco use, including smoking and smokeless tobacco, is a leading cause of oral cancer. Alcohol consumption, especially when combined with tobacco use, further elevates the risk. Quitting or avoiding these substances is one of the most effective ways to reduce the risk of oral cancer.

2. Healthy Diet:

Consuming a balanced diet rich in fruits and vegetables provides essential vitamins and minerals that support overall health. A diet high in processed foods and lacking in nutrients can contribute to an increased risk of oral cancer.

3. Sun Protection:

Excessive sun exposure can increase the risk of lip cancer. Using lip balm with sun protection factor (SPF) and wearing a wide-brimmed hat when in the sun can help reduce this risk.

4. HPV Vaccination:

Human papillomavirus (HPV) is a known risk factor for oral cancer. Vaccination against HPV can help reduce the risk of developing oral cancer.

5. Regular Dental Check-ups:

Regular dental check-ups are essential for early detection. Dentists are trained to recognize the signs of oral cancer and can perform a thorough examination during routine visits. The oral and maxillofacial pathologist examine the mouth carefully before suggesting a treatment. 

6. Self-Examination:

Individuals can also perform self-examinations at home. Be alert to any unusual changes in the mouth, such as persistent sores, lumps, white or red patches, or difficulty swallowing. If any of these symptoms persist for more than two weeks, it is essential to consult a healthcare professional.

The Role of Mouth Cancer Action Month:

Mouth Cancer Action Month serves as a reminder of the importance of awareness, education, and early detection. During this month, various healthcare organizations and professionals come together to provide information, resources, and screenings to the public. 

The ABCDE of Mouth Cancer:

To help individuals recognize the signs of oral cancer, an oral surgeon in Summerville suggests following the ABCDE approach:

Asymmetry: Check for any unusual asymmetry in the face, lips, or mouth.

Borders: Examine the borders of moles, sores, or lesions for irregularities.

Color: Be alert to any changes in the color of the lips, tongue, or oral tissue.

Diameter: Take note of the size of any persistent sores or growths.

Evolution: Pay attention to any changes over time, such as growth, bleeding, or discomfort.

Conclusion 

Mouth Cancer Action Month is a crucial opportunity for individuals to become more informed about the risks and prevention of oral cancer. By adopting a proactive approach to a healthy lifestyle, regular dental check-ups, and awareness of the signs of oral cancer, we can significantly reduce the incidence of this disease. Early detection remains one of the most effective means of successful treatment, underscoring the importance of routine check-ups and self-examinations. By working together to raise awareness and promote prevention, we can make great strides in reducing the impact of oral cancer in our communities.

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Oral Cancer Exam

According to research conducted by the American Cancer Society, more than 30,000 cases of oral cancer are diagnosed each year.  More than 7,000 of these cases result in the death of the patient.  The good news is that oral cancer can easily be diagnosed with an annual oral cancer exam, and effectively treated when caught in its earliest stages.

Oral cancer is a pathologic process which begins with an asymptomatic stage during which the usual cancer signs may not be readily noticeable.  This makes the oral cancer examinations performed by the dentist critically important.  Oral cancers can be of varied histologic types such as teratoma, adenocarcinoma and melanoma.  The most common type of oral cancer is the malignant squamous cell carcinoma.  This oral cancer type usually originates in lip and mouth tissues. There are many different places in the oral cavity and maxillofacial region in which oral cancers commonly occur, including: • Lips • Mouth • Tongue • Salivary Glands • Oropharyngeal Region (throat) • Gums • Face

Reasons for oral cancer examinations It is important to note that around 75 percent of oral cancers are linked with modifiable behaviors such as smoking, tobacco use and excessive alcohol consumption.  Your dentist can provide literature and education on making lifestyle changes and smoking cessation. When oral cancer is diagnosed in its earliest stages, treatment is generally very effective.  Any noticeable abnormalities in the tongue, gums, mouth or surrounding area should be evaluated by a health professional as quickly as possible.  During the oral cancer exam, the dentist and dental hygienist will be scrutinizing the maxillofacial and oral regions carefully for signs of pathologic changes. The following signs will be investigated during a routine oral cancer exam: • Red patches and sores – Red patches on the floor of the mouth, the front and sides of the tongue, white or pink patches which fail to heal and slow healing sores that bleed easily can be indicative of pathologic (cancerous) changes. • Leukoplakia – This is a hardened white or gray, slightly raised lesion that can appear anywhere inside the mouth. Leukoplakia can be cancerous, or may become cancerous if treatment is not sought.

• Lumps – Soreness, lumps or the general thickening of tissue anywhere in the throat or mouth can signal pathological problems. Oral cancer exams, diagnosis and treatment The oral cancer examination is a completely painless process.  During the visual part of the examination, the dentist will look for abnormality and feel the face, glands and neck for unusual bumps.  Lasers which can highlight pathologic changes are also a wonderful tool for oral cancer checks.  The laser can “look” below the surface for abnormal signs and lesions which would be invisible to the naked eye.

If abnormalities, lesions, leukoplakia or lumps are apparent, the dentist will implement a diagnostic impression and treatment plan.  In the event that the initial treatment plan is ineffective, a biopsy of the area will be performed.  The biopsy includes a clinical evaluation which will identify the precise stage and grade of the oral lesion.

Oral cancer is deemed to be present when the basement membrane of the epithelium has been broken.  Malignant types of cancer can readily spread to other places in the oral and maxillofacial regions, posing additional secondary threats.  Treatment methods vary according to the precise diagnosis, but may include excision, radiation therapy and chemotherapy.

During bi-annual check-ups, the dentist and hygienist will thoroughly look for changes and lesions in the mouth, but a dedicated comprehensive oral cancer screening should be performed at least once each year.

If you have any questions or concerns about oral cancer, please contact our practice.

For more details on our products and services, please feel free to visit us at lumineer veneers,  tricare dentist, affordable dentist near me, dental insurance & affordable dentistry

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Where Are Oral Cancers Most Commonly Found In The Mouth?

What is oral cancer?

Oral cancer also known as jaw cancer, is a cancerous growth located within the oral cavity. The cause is a gene that has the ability to mutate at high levels. Over 75% of oral cancers are linked to tobacco and alcohol. It first appears as a growth or sore in the mouth that does not go away. It may also appear as a lesion that has attached itself to the tissues of the mouth. Oral or mouth cancers most commonly involves the tongue.

 Where are they commonly found?

Mouth cancer occurs where a tumor develops in the lining of the mouth. The most common areas are the tongue surface, inside of the cheeks, on the roof of the mouth or on the lips and gums. Other areas include saliva glands, the tonsils at the back of the mouth and the Pharynx which is the part of the throat that connects your mouth to your windpipe.

 What are the symptoms?

● The unhealing of ulcers over a period of 2-3 weeks

● Lumps that do not disappear

● Unexplained persistent lumps in the neck

● Loose teeth or sockets

● Numbness or an odd feeling on the lips or tongue

● White or red patches on the lining of the mouth or tongue

● Changes in speech, such as a lisp

If the above symptoms do not disappear or heal within 2-3 weeks, it is advised that you seek immediate medical or dental help. You are put into a higher risk bracket if you are a heavy drinker or smoker.

    Types of mouth cancer

9 out of 10 cases of mouth cancer (jaw cancer) are diagnosed with the most common type of mouth cancer known as Squamous Cell Carcinoma. It is found throughout the body, including the head and skin. Less commonly found mouth cancers are:

● Adenocarcinomas, a cancer of the saliva glands

● Sarcomas, cancer of the bone, muscle or other body tissue

● Oral Malignant Melanomas, cancer of the skin pigment cells

● Lymphomas, cancer of the lymph glands, but can develop in the mouth.

 Treatments

Currently there are three treatment options available for mouth cancer:

● Surgery, where cancerous cells are surgically removed with surrounding tissue to make sure the total removal was a success and to prevent future cases.

● Radiotherapy, high energy x-rays are used to kills the cancerous cells

● Chemotherapy, medications are used to kill the cancerous cells

The above treatments are often used together. A common example of this is where surgery may be followed by a course of radiotherapy or chemotherapy.

 Preventions

● Do not smoke

● Do not exceed the recommended 14 units of alcohol per week

● Eat a healthy diet consisting of fresh vegetable, fresh fruits, citrus fruits, tomatoes, olive oil and fish.

Please note that if mouth cancer is diagnosed early, 90% of cases can be cured by surgery alone. It is advised to have regular routine checkups every 6 months and every 3-6 months if you are over 40 years of age.

 References:

1. http://www.nhs.uk/conditions/cancer-of-the-mouth/pages/introduction.aspx

2. http://www.webmd.com/oral-health/guide/oral-cancer#1

3. https://en.wikipedia.org/wiki/Oral_cancer

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Red And White Lesions Long Essays