Pathology · single question

A white, spongy, non-ulcerated lesion on the floor of the mouth. Most likely diagnosis?

  1. Squamous cell carcinoma (SCC)
  2. Leukoplakia
  3. Candidiasis
  4. White sponge nevus
Show answer and explanation

Correct answer: D. White sponge nevus

WHITE SPONGE NEVUS: bilateral, white, spongy, thickened oral mucosa (floor of mouth, buccal mucosa) — autosomal dominant, benign, non-ulcerated. SCC = indurated, ulcerated, fixed. Leukoplakia = flat white non-wipeable patch. Candidiasis = wipeable pseudomembranous or red.

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