Suspicious Oral Lesions

Question 1

Features of suspicious lesions

Answer 1

Solitary ulcer
Persisting more than 3 weeks
Numbness
Rolled margins
Firm
Unintended weight loss
Red or speckled
Bleeding on light touch
Other associated lesions such as neck lump

Question 2

Initial management of suspicious lesion in primary care

Answer 2

Recognise abnormal mucosa
Remove possible causative agents eg sharp tooth
Clinical photography
Refer when appropriate

Question 3

Initial management of suspicious lesions in secondary care

Answer 3

History and exam
Clinical photographs
Special investigations - bloods, radiographs, swabs
Incisional vs excision also biopsy
Review with results and manage accordingly