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Introduction
  • Oral lesion caused by squamous hyperplasia 
  • Associated with ↑ risk of oral squamous cancer
  • May also be red (erythroplakia)
  • Most commonly seen at the vermilion border of lower lip
    • can be seen anywhere in the mouth
  • Cause
    • alcohol 
    • tobacco use
    • infection (EBV, HPV)
    • chronic irritation (e.g. poor-fitting dentures)
Presentation
  • Physical exam
    • lesion cannot be scraped off
Evaluation
  • Biopsy
    • must assess for oral cancer risk 
 

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