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How to describe lesions
Location
You have to be very very specific
Distribution and definition
-
Localised
-
generalized
-
Regular or Irregular border
Size
Shape
- Macule
- Vesicle
- Pustule
- Papule
- Nodule
- plaque
- sesile-based/pedunculate -ulcers/erosions
Colour
Homogeous
- Red (erythroplakia)
- White (leukoplakia)
Consistency
-soft
- hard -fluctuant
texture
History
- when did it start
- Pain
- Experience of trauma
- Medicationt changes
Surgical Sieve
VITAMINS CDE
Vascular
Infective of inflammatory
Trauma
Autoimmune
Metabolic
Idiopathic or Iatrogenic (thermal/chemical/laceration)
Neoplasia
socio cultural
Active minds
Whats important?
- Persistent oral mucosal lesions - red or white
- ulcerations
- indurations -fixated to deep tissue
- Rapidly growing (excluding meal time syndromes)
- Bleeding easily (spontaneous in the absnce of periodontal disease)
- Numbness in absence of clear cause
- Trismus
- Neck lumps (lymph nodes or thyroid nodules)
^W6Q20k1hWHO classification 2005
Link to original
Classification of precancerous lesions and conditions Precancerous lesions Precancerous conditions Leukoplakia Submucous fibrosis Erythroplakia Actinic keratosis Palatal lesions in reverse smokers Lichen planus Discoid lupus erythematosus Hereditary disorders with increased risk: dyskeratosis congenita and epidermolysis bullosa