Featured Patient Case #6 by UNMC College of Dentistry | Jun 3, 2021 Contributor: Dr. Tylka A 73-year-old Caucasian male presents with a lesion of the right lateral tongue. History of the lesion: Duration: Unknown (Has a history of recurrent white plaque of varying thickness on the right lateral tongue. Previous biopsy was diagnosed as mild dysplasia and treated by laser ablation.) Oral examination: White plaque on the right lateral tongue measuring approximately 2 x 3 cm. Some induration was noted in the anterior superior area. Differential diagnoses should include: Leukoplakia Squamous cell carcinoma Lichen planus Lichenoid mucositis White sponge nevus Frictional keratosis Next course of action: Treat with acyclovir Treat with antifungal Incisional biopsy No treatment is required If the histology of the lesion is as shown, your clinical diagnosis is: Leukoplakia Squamous cell carcinoma Lichen planus Lichenoid mucositis White sponge nevus Time's up
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