CLIN MED Oropharynx | QUESTIONS With 100%
Complete Solutions
What is leukoplakia? What is it caused by?
A white lesion on the oral mucosa that cannot be rubbed off
chronic irritation (tobacco, alcohol, dentures, lichen planus).
What percentage of leukoplakia lesions represent squamous cell carcinoma?
About 2-6%.
How is leukoplakia treated?
Surveillance and removal of carcinogenic irritants.
What is erythroplakia?
A red oral patch similar to leukoplakia but with an erythematous component
What percentage of erythroplakia lesions represent squamous cell carcinoma?
90% represent dysplasia or squamous cell carcinoma.
How is erythroplakia managed?
Incision biopsy or cytologic examination
+ Surveillance, removal of irritants, serial biopsies, and excision (if needed)
What is oral lichen planus?
, A chronic inflammatory disease of the oral mucosa causing mucosal atrophy, erosion, or
ulceration
- can be multiple, bilateral, and symmetrical
What are the two common forms of oral lichen planus?
Reticular and erosive.
What percentage of oral lichen plants transforms into squamous cell carcinoma?
1%
What is the treatment for oral lichen planus?
-Exfolative cytology or incisional biopsy
Daily topical corticosteroids and regular surveillance
What virus is hairy leukoplakia associated with?
Epstein-Barr virus (EBV)
What disorders is hairy leukoplakia typically seen in?
Early HIV
Solid organ transplantation (immune-deficiency)
What is the typical appearance of hairy leukoplakia?
Slightly raised white lesions with a 'hairy' surface on the lateral border of the tongue.
-waxes and wanes over time
Does hairy leukoplakia predispose to cancer?
Complete Solutions
What is leukoplakia? What is it caused by?
A white lesion on the oral mucosa that cannot be rubbed off
chronic irritation (tobacco, alcohol, dentures, lichen planus).
What percentage of leukoplakia lesions represent squamous cell carcinoma?
About 2-6%.
How is leukoplakia treated?
Surveillance and removal of carcinogenic irritants.
What is erythroplakia?
A red oral patch similar to leukoplakia but with an erythematous component
What percentage of erythroplakia lesions represent squamous cell carcinoma?
90% represent dysplasia or squamous cell carcinoma.
How is erythroplakia managed?
Incision biopsy or cytologic examination
+ Surveillance, removal of irritants, serial biopsies, and excision (if needed)
What is oral lichen planus?
, A chronic inflammatory disease of the oral mucosa causing mucosal atrophy, erosion, or
ulceration
- can be multiple, bilateral, and symmetrical
What are the two common forms of oral lichen planus?
Reticular and erosive.
What percentage of oral lichen plants transforms into squamous cell carcinoma?
1%
What is the treatment for oral lichen planus?
-Exfolative cytology or incisional biopsy
Daily topical corticosteroids and regular surveillance
What virus is hairy leukoplakia associated with?
Epstein-Barr virus (EBV)
What disorders is hairy leukoplakia typically seen in?
Early HIV
Solid organ transplantation (immune-deficiency)
What is the typical appearance of hairy leukoplakia?
Slightly raised white lesions with a 'hairy' surface on the lateral border of the tongue.
-waxes and wanes over time
Does hairy leukoplakia predispose to cancer?
