Pathology · single question

CASE — A small white lesion on the LATERAL/VENTRAL tongue. All of the following are reasonable differential diagnoses EXCEPT:

  1. Verruca vulgaris
  2. Pleomorphic adenoma
  3. Squamous cell carcinoma
  4. Leukoplakia
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Correct answer: B. Pleomorphic adenoma

  • A. Verruca (a papillary keratotic lesion) can appear white.
  • B. Correct (the EXCEPTION). A pleomorphic adenoma is a submucosal salivary tumor; it is not a white surface plaque of the tongue.
  • C. SCC commonly arises on the lateral/ventral tongue and can be leukoplakic.
  • D. Leukoplakia is by definition a white plaque.

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