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March 2008: White lesions right buccal mucosa and left lateral tongue

Dolphine Oda, BDS, MSc
doda@u.washington.edu

Contributed by
Dr. Thomas H. Hohl
Sandpoint Oral & Maxillofacial Surgery, Seattle

Case Summary and Diagnostic Information

This is a 15-year-old boy who presented with a painful non-healing ulcer on the left lateral border of tongue (Figure 1). The ulcer was surrounded by a white plaque. The right buccal mucosa also had a white lesion which had a reticular pattern (Figure 2). The right buccal mucosa lesion was not ulcerated and was not painful. The left buccal mucosa had a hint of a white reticular lesion but was not as prominent as that of the right side. The ulcer was of one month’s duration while the right buccal mucosa lesion was of unknown duration. An incisional biopsy of the lateral tongue was performed.

Diagnostic Information Available

History of Present Illness

Medical History

Clinical and Radiographic Findings

Excisional Biopsy

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