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Index
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Differential diagnosis of white lesions
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Chapter 1
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Dysplasia and neoplastic lesions
level: Dysplasia and neoplastic lesions
Questions and Answers List
level questions: Dysplasia and neoplastic lesions
Question
Answer
An isolated frank white leathery adherent patch arising at any site in oral mucosa it has mild malignant transformation.
Homogenous leukoplakia. The differential diagnosis is smokers keratosis,frictional keratosis,chemical burn,traumatic ulcer,oral lichen planus plaque type.
A premalignant lesion contain white adherent patches on red base which takes on the appearance of islands of white in background of red.
Speckled leukoplakia. The differential diagnosis is atrophic candidiasis,atrophic/erosive oral lichen planus,candidal leukoplakia.
A premalignant thick white adherent lesion with multiple papillary projections of increased thickness showing loss of flexibility and palliability.
Verrucous leukoplakia. The differential diagnosis is oscc,chemical burn in the floor of the mouth.
A diffuse, homogeneous adherent white patch evolve into verrucous areas affecting multiple areas,it is highly malignant and has a high recurrence rate.
Proliferative verrucous leukoplakia. The differential diagnosis is oscc,chemical burn.
A firm nodular cancerous lesion with pebbled ulcerated surface usually in lateral border of tongue.
White exophytic squamous cell carcinoma. The differential diagnosis is papilloma and condyloma acuminatum,Pyogenic granuloma,Verruca vulgaris