Breakthrough Clinical pathology case: No. 11

Dr. Stacey Simmons, editorial director of Breakthrough Clinical writes this month’s oral pathology case. A 62-year-old female presents for her biannual cleaning and checkup. Health history is noncontributory; she is taking Vitamin D supplements and reports no other changes or concerns. During her routine oral screening and exam, a 9 mm x 3 mm white leukoplakic patch of tissue on the left ventral surface of the tongue was noted. It was not tender to palpation, could not be scraped off, and the patient was unaware of its presence. At the follow-up appointment two-and-a-half weeks later, the lesion was still present.

Jan 6th, 2016
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This article first appeared in the newsletter, DE's Breakthrough Clinical with Stacey Simmons, DDS. Subscribe here.

A 62-year-old female presents for her biannual cleaning and checkup. Health history is noncontributory; she is taking Vitamin D supplements and reports no other changes or concerns. During her routine oral screening and exam, a 9 mm x 3 mm white leukoplakic patch of tissue on the left ventral surface of the tongue was noted (figures 1 and 2). It was not tender to palpation, could not be scraped off, and the patient was unaware of its presence. It was recommended that the patient come back in two to three weeks to assess for continued presence. At the follow-up appointment two-and-a-half weeks later, the lesion was still present.

What are the differential diagnoses and subsequent treatment modalities?

Send your answers to DEbreakthrough@pennwell.com or join our Facebook group to discuss this oral pathology case and more.

ADDITIONAL READING . . .
Breakthrough Clinical pathology case: No. 10
Breakthrough Clinical pathology case: No. 9
Breakthrough Clinical pathology case: No. 8
Breakthrough Clinical pathology case: No. 7

Do you have an interesting oral pathology case you would like to share with Breakthrough’s readers? If so, submit a clinical radiograph or high-resolution photograph, a patient history, diagnosis, and treatment rendered to: DEbreakthrough@pennwell.com. We will let you know if we select your case!

This article first appeared in the newsletter, DE's Breakthrough Clinical with Stacey Simmons, DDS. Subscribe here.

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Stacey L. Simmons, DDS, is in private practice in Hamilton, Montana. She is a graduate of Marquette University School of Dentistry. Dr. Simmons is a guest lecturer at the University of Montana in the Anatomy and Physiology Department. She is the editorial director of PennWell's clinical dental specialties newsletter, DE's Breakthrough Clinical with Stacey Simmons, DDS, and a contributing author for DentistryIQ, Perio-Implant Advisory, and Dental Economics. Dr. Simmons can be reached at ssimmonsdds@gmail.com.

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