MUCOSAL – PREMALIGNANT

PRE MALIGNANT LESIONS AND CONDITIONS
Pre- malignant lesion – the lesion will become cancerous if the cause is not stopped / removed.
Pre – malignangt condition – the condition may become cancerous if the cause is not stopped / removed
Usually these lesions develop into SQCC.

LEUKOPLAKIA
- Most common pre – malignant lesion and condition
- White lesion
- Cause – tobacco
- Most common leukoplakia – Homogenous L
- Most dangerous leukoplakia – Verrucous L(growth present)
Rx
- Stop tobacco
- Vit .A, Steroids, Vit.E = adjunct therapy

ERYTHROPLAKIA
- Red lesion – ie. will become carcinoma
- Pre – malignant lesion
- 90% becomes cancer


DIFF BTWN WHITE LESION OF ORAL CAVITY :

Leukoplakia
- White colour
- Cause – Tobacco
- C/F – non scrapable
- Rx – stop tobacco

White Sponge Nevus
- White colour
- Familial or hereditary
- Scrapable, no erythema left
- No Rx.

OSMF - Oral submucosal fibrosis
- Cause – arecanut chewing
C/F
- Trismus
- Vertical band in buccal mucosa
- Burning sensation
- Rx for mild to moderate
- Hyaluronidase inj + steroids, xylocaine
Rx for severe cases – excision of bands