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Oral Leukoplakia
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Oral Leukoplakia
, Leukoplakia
See Also
Oral Erythroplakia
Definition
White
Plaque
-like lesion on
Oral Mucosa
Differential Diagnosis
White
Oral Lesion
s
Non-Keratotic
Can scrape off with
Tongue
blade or gauze
Causes
Surf
ace debris (food accretion)
Necrosis
Thrush
Keratotic (cannot be rubbed off)
Leukoplakia (18% of
Oral Lesion
s)
Reactive hyperkeratosis (most common)
Benign epithelial response
Fracture
d tooth,
Dental restoration
Causes
Gene
ral
Small percentage are pre-cancerous or carcinoma
Specific Causes
Leukoedema
Galvanic keratosis
Lichen Planus of Buccal Mucosa
Verrucous carcinoma
Systemic Lupus Erythematosus
White sponge nevus
Squamous Cell Carcinoma
Signs
Cancer-prone mucosal locations
Lateral or Ventral
Tongue
Floor of mouth (especially near
Wharton's Duct
)
Mandibular retromolar trigone
Tonsillar Pillar
and
Soft Palate
complex
Evaluation
Rule out
Trauma
tic cause
Biopsy!
Prevention
Tobacco Cessation
Alcohol
cessation
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