White and red patches Flashcards
1
Q
Why are white lesions white
A
More keratin , hyperkeratosis
2
Q
Why are red patched red
A
Due to atrophy , hyperaemia or loss of keratin due to
- inflammation
- mucosal atrophy
- increased vascularisation
- mucosal/submucosal bleeding
3
Q
Causes of white lesions
A
- Congenital
- Lichen planus
- Infections - candida
- Keratosis
- Neoplastic/ potentially neoplastic
4
Q
What is the management of SCC?
A
- Urgent referral to MAxfacs
- Explain concern with pt
- Explain they will need to get a sample
5
Q
What is Leukoplakia
A
A white patch or plaque that cannot be characterised clinically or pathologically / cannot be rubbed away
6
Q
White patch general management strategy
A
- Hx
- Exclude red flags
^ does it wipe away?
^ if cause is obvious remove it then review
^ Refer if unsure
7
Q
How does Erythroplakia present as?
A
- Localised
- Well defined borders
- Red
- Speckled
8
Q
Common sites for erythroplakia
A
- Soft palate
- Buccal mucosa
- FOM
9
Q
Malignant tranformation rate
A
50%
10
Q
Management or erythroplakia
A
Refer urgently to OM
11
Q
What is erythro-leukoplakia
A
- Speckled red/white patches
- Heterogenous appearance
12
Q
A
