Featured Patient Case #11 by UNMC College of Dentistry | Nov 5, 2021 Contributor: Dr. Joyce Lee A 65-year-old Caucasian female presents with an asymptomatic lesion of the left lateral tongue. Which of the following should be included on the differential diagnosis? Chemical burn Irritation fibroma Squamous cell carcinoma All of the above B and C What is the most appropriate next step for the management of this lesion? Excisional biopsy Re-evaluate in 3 months Incisional biopsy Fabricate an occlusal night guard Based on the histopathology what is the correct diagnosis? Chemical burn Irritation fibroma Hyperkeratosis Severe dysplasia Squamous cell carcinoma How is this lesion best managed? Periodic follow-up after the diagnosis Laser ablation of the biopsy site Topical corticosteroids Surgical excision, with possible radiation and chemotherapy Radiation only Time's up
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