ISBAR Lesion handover

Question 1

Answer 1

Question 2

Answer 2

Question 3

Answer 3

Question 4

Red flags for red lesions

Answer 4

Question 5

pigmented lesion

Answer 5

Question 6

High-Risk Oral Potentially Malignant Disorders (OPMDs) Summary

Answer 6

Question 7

Answer 7

Left lateral border of the tongue showing thin homogeneous white plaque (black arrows) with ulceration (white arrow)

Question 8

Answer 8

Candidiasis vs keratin accumulation: A) Candidiasis of the soft and posterior hard palate presenting as white pseudomembranes. B) Coated tongue not associated with oral candidiasis.

Question 9

Answer 9

A) Morsicatio buccarum on the left buccal mucosa. B) Benign alveolar ridge keratosis of the inferior right retromolar trigone.

Question 10

Answer 10

Oral lichen planus: Reticular white striae along with regions of erythema on the right buccal mucosa.

Question 11

Answer 11

Differential diagnosis: A) Superficial mucosal sloughing. B) Squamous papilloma on the left dorsolateral tongue.

Question 12

Answer 12

Malignant and premalignant oral leukoplakia and erythroleukoplakia: A) Thin, homogeneous leukoplakia of the right lateroventral tongue. B) Erythroleukoplakia of the left lateral aspect of the tongue.

Question 13

Answer 13

Proliferative leukoplakia shown as multifocal homogeneous white plaques involving (A) the lower anterior gingiva and lower labial mucosa and (B) the upper anterior gingiva and upper labial mucosa

Question 14

white lesion tx

Answer 14

Question 15

Answer 15

Symptomatic traumatic ulceration of the left mid-ventral tongue associated with a sharp left lower molar. The ulcer has flat edges and is surrounded by an area of frictional keratosis. The ulcer was soft on palpation.

Question 16

Answer 16

Minor aphthous ulceration of the lower right labial mucosa with typical erythematous hallow and yellow base

Question 17

Answer 17

Left lateral tongue squamous cell carcinoma with irregular margins, heterogeneous appearance and raised, rolled edges. The cancer was palpably firm and indurated, unlike normal tongue tissue.

Question 18

Answer 18

Left buccal/retromolar trigone squamous cell carcinoma. The lesion had characteristic rolled edges with irregular margins and likely invasion of the posterior mandible, as the lower left molar was mobile. The lesion was initially attributed to cheek biting, which resulted in a delay in referral for several months.

Question 19

Answer 19

Right floor of mouth squamous cell carcinoma crossing the midline with heterogeneous appearance and irregular margins. The lesion was firm and nodular on palpation.

Question 20

Answer 20

Early-stage right tongue squamous cell carcinoma in a female patient who did not smoke who presented with a six-week history of a slightly sore right tongue and persistent ulcer. The cancer had irregular margins and heterogeneous appearance and was referred early by her general practitioner.

Question 21

Answer 21

Lower right lip squamous cell carcinoma presenting as a persistent ulceration with crusting. Note the presence of adjacent sun-related actinic changes across the vermilion zone and border.

Question 22

Answer 22

The alternating red atrophic areas surrounded by the white raised hyperkeratotic areas typical of geographic tongue

Question 23

Answer 23

Linear frictional keratosis of the right buccal mucosa corresponding to the occlusal plane where the upper and lower dentition meet

Question 24

Answer 24

Figure 10. Oral pseudomembranous candidosis of the palate

Figure 11. Denture-associated erythematous stomatitis of the upper palate and alveolus with a papillary appearance anteriorly. The outline of the mucosal change corresponds to the fitting surface of the upper maxillary denture.

Question 25

Answer 25

Figure 12. ‘Wickham’s striae’ of oral lichen planus on the right buccal mucosa extending across the retromolar pad presenting as a lace- or net-like pattern of keratotic lines on a faint erythematous background Figure 13. Erosive oral lichen planus presenting as a large ulceration on the right lateral tongue. Ulceration is often persistent and must be differentiated from an oral malignancy.

Question 26

Answer 26

Figure 15. Leukoplakia of the ventral tongue. Incisional biopsy showed severe dysplasia, and the lesion was subsequently completely excised. Figure 16. Erythroplakia of the bilateral floor of the mouth presenting as a diffuse, painless, ‘velvety’ red patch. This lesion harboured severe dysplasia.