Oral Lesions

Question 1

squamous cell carcinoma can present with

Answer 1

persistant nodular and erosive, ulcerative lesions or erythema or induration and regional LAD

Question 2

Risk factors for squamous cell carcinoma

Answer 2

tobacco and ETOH

Question 3

What is leukoplakia?

Answer 3

reactive lesion that represents hyperplasia of squamous epithelium and is associated with increased risk for malignant transformation If induration or ulceration need biopsy

Question 4

Does leukoplakia have potential to transform into cancer?

Answer 4

1-20% of cases can progress to squamous cell carcinoma in 10 yrs but most lesions resolve within a few weeks after cessation of tobacco use.

Question 5

Name the lesion

Answer 5

This is leukoplakia that can appear as a white granular plaque or patch and seen with EOTH or tobacco use.

Question 6

Name the lesion

Answer 6

This is oral candidiasis and thrush and this happens in DM2, immunodeficiency states and use of antibiotics and inhaled glucosteroids. THey are white plaques on the mouth and tongue and oropharynx without underlying erythema. These are scraped off and with a tongue depressor

Question 7

Name the lesion

Answer 7

Aphthous stomatitis which is a localized shallow and painful ulcers with a gray base and recurrent aphthous stomatitis and this is the most common oral ulcers.

Question 8

Name the lesion

Answer 8

Gingivostomatitis

This is seen with HSV1. It can present with a multiple vesicular lesions with erythematous and inflammatory base and erythematous border within the oral cavity and central area.