Oral dysplasia and screening cases

Question 1

what condition is this?

Tends to be symmetrical white lacey patches affecting the buccal mucosa and tongue

can affect different parts of the body

Autoimmune condition

No symptoms or risk factors

Long term review as potential malignant condition

Answer 1

Lichen planus

Question 2

what condition is this?

Seen when in contact with metal in the mouth e.g. amalgam, crowns, dentures

Can look similar to lichen planus

Can be painful

Long term review as potential malignant condition

Answer 2

lichenoid reaction

Question 3

what condition is this?

Fungal infection

Tend to be at the commissure (corners of mouth) sometimes the tongue

Treatment systemic antifungals

If signs don’t resolve have a repeat biopsy after 2 weeks

Answer 3

candidiasis

Question 4

what condition is this?

Wear and tear (trauma) e.g. denture

Answer 4

frictional keratosis

Question 5

Potentially malignant lesion
? to ? dysplasia treatment is ? as likelihood of it becoming cancer is high
Remove with ? margin of normal tissue as premalignant

Answer 5

moderate
severe
excision
5mm

Question 6

what is this condition?
Small, painful white patch, will resolve in weeks

Answer 6

minor oral aphthous ulceration
MOA

Question 7

what is this condition?

White striations on lateral tongue

Seen in immunocompromised hosts

Linked to Epstein-Barr virus and HIV

Don’t need to excise, eliminate risk factors

Answer 7

hairy leukoplakia