Pathology · single question

A large painful oral ulcer (>1 cm) on the lower lip takes 6+ weeks to heal. Most consistent diagnosis?

  1. Major aphthous ulcer (Sutton's disease)
  2. Herpetic ulcer
  3. Minor aphthous ulcer
  4. Traumatic ulcer
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Correct answer: A. Major aphthous ulcer (Sutton's disease)

Major aphthous ulcer (Sutton's disease): >1 cm, deep, prolonged healing (weeks to months), may scar.
  • A. ✅ CORRECT – Major aphthous (Sutton's disease): >1 cm, deep, slow-healing, scarring.
  • B. ❌ Herpetic ulcers are small, multiple vesicles/ulcers.
  • C. ❌ Minor aphthous ulcers are <1 cm and heal in 1–2 weeks.
  • D. ❌ Traumatic ulcers heal within 2 weeks of irritant removal.

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