Premalignant Lesions Practice Questions

What is the management for mild dysplasia?

Follow up

Atypical morphology involving the entire thickness of the epithelium

Severe dysplasia

Pleomorphism

Abnormal shape and size of cells

Which of the following is indicated for an excisional biopsy?

Fibroma

Which of the following is a clinical term used to describe a white premalignant lesion?

Leukoplakia

Which is a common site for proliferative verrucous leukoplakia?

Gingiva

All of the following are premalignant lesions EXCEPT:

Actinic lentigo

Which of the following is NOT true regarding actinic keratosis?

A smooth white lesion

Which is FALSE regarding erythroplakia?

Excisional biopsy is indicated

All of the following are high risk sites for premalignant or cancer EXCEPT:

Dorsum of tongue

What is the concern with this lesion?

Premalignant

Arrange the following lesions in order from highest to lowest risk of malignant transformation

Proliferative Verrucous Leukoplakia > Erythroplakia > Erythroleukoplakia > Smooth Leukoplakia

What is the management of this lesion?

Incisional biopsy

What is the histological hallmark of epithelial dysplasia?

Cellular atypia

Oral submucous fibrosis is commonly associated with

Betal nut

Which of the following is false?

Reactive process

What do you want to rule out?

Malignancy

What clinical feature raises more concern for dysplasia or carcinoma?

Red-and-white mixed lesion

What is the cause of this lesion?

Chewing tobacco

Arrange the grades of epithelial dysplasia in order of decreasing risk for malignant transformation (highest to lowest)

Carcinoma in situ > Severe dysplasia > Moderate dysplasia > Mild dysplasia