NCCPA™ PANCE EENT Content Blueprint ⇒ Oropharyngeal disorders ⇒ other oropharyngeal disorders
Patient will present as → a 42-year-old male with symptoms of the flu. On social history, the patient describes drinking 2-3 beers per day as well as smoking 1 pack of cigarettes per day. He is noted on physical exam to have a white plaque-like lesion on the side of the tongue which could not be scraped off with a tongue depressor.
Oral leukoplakia is an oral potentially malignant disorder that presents as white patches of the oral mucosa that cannot be wiped off with a gauze
TX: Biopsy and surgical excision
Patient will present as → a 42-year old patient with AIDS presents with a grayish-white “corduroy-like” plaque on the lateral borders of her tongue that does not scrape off.
Oral hairy leukoplakia is a separate disorder that is not premalignant. It is an Epstein-Barr virus-induced lesion that occurs almost entirely in HIV-infected patients
TX: Unlikely to progress to squamous cell carcinoma
"Thrush can be scraped off with a tongue depressor revealing inflamed mucosa underneath. Leukoplakia will remain intact when attempting to remove with a tongue depressor."