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Diagnostic Radiology Rubin H. Flocks, Gösta Jönsson, Knut

This can be scrapped off with a tongue blade or gauze Acute pseudomembranous candidiasis (Thrush). White, curd-like or cottony patches or plaques, most frequently occurring Fordyce granules Reactive hyperkeratosis. A benign epithelial response, usually due It is clinically classified into two forms, homogeneous and nonhomogeneous leukoplakia, with the latter carrying a higher risk of oral cancer compared with the homogeneous form : Homogenous leukoplakia typically presents as a uniformly white, thin plaque with well-defined margins ( picture 2A-B ). Based on the history and clinical examination, a provisional diagnosis of bilateral homogeneous leukoplakia was considered.

Leukoplakia is a discomforting condition that affects around 3% of the world population. Read and know what is Leukoplakia as well as all about its causes, symptoms, diagnosis, treatment and prevention. Leukoplakia DefinitionPage Contents1 Leukoplakia Definition2 Leukoplakia Types3 What is Homogeneous Leukoplakia?4 Leukoplakia Symptoms5 Leukoplakia Causes6 Leukoplakia Diagnosis7 Leukoplakia … Leukoplakia may be potentially malignant (or in a small number may already be carcinomatous) and, thus, both behaviour (lifestyle) modification to eliminate risk factors, and active treatment of the lesion are indicated (Table 28.2):. Patient information is an important aspect in management. Removal of known risk factors (tobacco, alcohol, betel and trauma) is a mandatory step. Up to 45% of Definition The term leukoplakia (Greek, “white patch”) is defined by the World Health Organisation as "a white plaque / patch, firmly attached to the oral mucosa, that cannot be rubbed off or clinically identified as another named entity".It is therefore strictly a clinical label rather than a histological diagnosis.

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Differential diagnosis: Surface debris. This can be scrapped off with a tongue blade or gauze Acute pseudomembranous candidiasis (Thrush). White, curd-like or cottony patches or plaques, most frequently occurring Fordyce granules Reactive hyperkeratosis. A benign epithelial response, usually due Conclusions: The differential diagnosis of oral lichen planus - particularly its reticular form - and homogenous leukoplakia should be based on anamnesis, physical examination and histological Differential Diagnosis of Leukoplakia Frictional keratosis Burn (thermal/chemical) Hyperplastic candidiasis Lichen planus Homogenous leukoplakia (also termed "thick leukoplakia") is usually well defined white patch of uniform, flat appearance and texture, although there may be superficial irregularities.

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2021-02-15 nodular leukoplakia, 16% had ulcerated leukoplakia, and 52% had homogeneous leukoplakia. Brouns et al.

Microscopic differential diagnosis: The most important differential diagnostic criteria are listed for lesions with similar microscopic appearance.
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Differential diagnosis of homogenous leukoplakia

Up to 45% of Figure 1: Homogeneous oral leukoplakia in the left lateral border and ventrum of the tongue. Figure 2: Non-homogeneous oral leukoplakia. White plaques intermixed with red patches. Figure 3: Proliferative verrucous leukoplakia: multifocal involvement affecting … 2013-09-25 Oral leukoplakia is a white patch or plaque that develops in the oral cavity and is strongly associated with tobacco smoking. More importantly, it is widely recognized as a precancerous lesion of oral squamous carcinoma. Oral leukoplakia has a wide differential diagnosis, which is why an extensive workup is necessary to rule out other etiologies.… 10 specimens taken from oral hairy leukoplakia were compared to 8 histological preparations from hairy tongue. We found 9 criteria helpful concerning the histopathologic differential diagnosis of these entities.

A potentially malignant oral lesion such as oral leukoplakia (with or without dysplasia) is also a likely diagnosis given the non-homogeneous white presentation and the lack of any symptoms. 1. Differential Diagnosis The first step in developing a differential diagnosis for a white patch (leukoplakia) on the oral mucosa is to determine whether the lesion can be removed with a gauze square or a tongue blade. If the lesion can be removed, it may represent a pseudomembrane, a fungus colony, or debris. Leukoplakia may be potentially malignant (or in a small number may already be carcinomatous) and, thus, both behaviour (lifestyle) modification to eliminate risk factors, and active treatment of the lesion are indicated (Table 28.2):. Patient information is an important aspect in management.
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It is clinically classified into two forms, homogeneous and nonhomogeneous leukoplakia, with the latter carrying a higher risk of oral cancer compared with the homogeneous form [ 6 ]: ● Homogenous leukoplakia typically presents as a uniformly white, thin plaque with well-defined margins (picture 2A-B). Based on the history and clinical examination, a provisional diagnosis of bilateral homogeneous leukoplakia was considered. The differential diagnosis of frictional keratosis and plaque type of lichen planus was given. A clinical diagnosis of leukoplakia A clinical diagnosis or differential diagnosis of a mu-cosal lesion is the result of a number of parameters. The importance of each parameter varies according to the type of lesion.

Traditionally, leukoplakias are clinically subdivided in a homogeneous and a non-homogeneous variant.
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Since the white patches of leukoplakia do not cause symptoms, they are often first noticed by healthcare providers during a routine examination. Before a diagnosis of leukoplakia is made, other possible causes of the white patches are investigated. We found 9 criteria helpful concerning the histopathologic differential diagnosis of these entities. Oral hairy leukoplakia shows a gently papillated surface, a prominent horny layer with confluent bacterial overgrowth, and ballooned epithelial cells with a distinct perinuclear halo in a bandlike arrangement. working on differential diagnosis. On the basis of clinical history a . provisional diagnosis of Homogenous Leukoplakia was made.

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The lesion was non scrapable.

Before a diagnosis of leukoplakia is made, other possible causes of the white patches are investigated. We found 9 criteria helpful concerning the histopathologic differential diagnosis of these entities. Oral hairy leukoplakia shows a gently papillated surface, a prominent horny layer with confluent bacterial overgrowth, and ballooned epithelial cells with a distinct perinuclear halo in a bandlike arrangement. working on differential diagnosis. On the basis of clinical history a . provisional diagnosis of Homogenous Leukoplakia was made.