Question 195 · LDEK · Precancerous lesions and neoplasms
A 60-year-old patient, overall healthy, without history of taking any medicines, smoker (approximately 20 cigarettes a day) reported to the dentist. Clinical examination revealed oval shaped lesion, located in the floor of oral cavity, red in colour, clearly separated from its surroundings, of furrowed surface. The lesion was not painful, not diminishing under pressure, with no possibility of removing it with gauze. No triggering factors in the sublingual region were identified. Mycological examination was negative. Histopathological examination revealed increased epithelial dysplasia. Probable clinical diagnosis is:
- A. leukoplakia.
- B. erythroplakia.
- C. chronic atrophic candidiasis.
- D. lichen planus.
- E. oral submucous fibrosis (OSMF).
Hint
A red, well-demarcated patch in an older smoker that cannot be wiped off, is fungus-negative and shows marked dysplasia — which disorder fits?
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