Pathology · single question

A small white lesion on the soft palate does not wipe off. All of the following are reasonable considerations EXCEPT:

  1. Pleomorphic adenoma
  2. Leukoplakia
  3. Lichen planus
  4. A frictional/keratotic lesion
Show answer and explanation

Correct answer: A. Pleomorphic adenoma

  • A. Correct (the EXCEPTION). A pleomorphic adenoma is a submucosal salivary tumor presenting as a firm swelling/mass, not a white surface lesion.
  • B. Incorrect. Leukoplakia is a white plaque that does not wipe off — a valid consideration.
  • C. Incorrect. Lichen planus can present as white striae/plaques on the mucosa.
  • D. Incorrect. Chronic friction/keratosis produces an adherent white lesion.

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