questions 2

Leukoplakia

Topic updated on 11/11/17 1:20pm

Introduction
  • Oral lesion caused by squamous hyperplasia 
  • Associated with ↑ risk of oral squamous cancer
  • May also be red (erythroplakia)
  • Most commonly seen at the vermilion border of lower lip
    • can be seen anywhere in the mouth
  • Cause
    • EtOH 
    • tobacco use
    • infection (EBV, HPV)
    • chronic irritation (e.g. poor-fitting dentures)
Presentation
  • Physical exam
    • lesion cannot be scraped off
Evaluation
  • Biopsy
    • must assess for oral cancer risk 


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(M2.ET.8) A 42-year-old male is visiting his physician for symptoms of the flu. On social history, the patient describes drinking 2-3 beers per day as well as smoking 1 pack of cigarettes per day. He is noted on physical exam to have an oral lesion similar to that in Figure A, which could not be scrapped off with a tongue depressor. This is an example of which of the following? Topic Review Topic
FIGURES: A          

1. Fungal infection
2. Hyperplasia
3. Neoplasia
4. Metaplasia
5. Trauma

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