Pathology · single question

Photo showing a recurrent aphthous ulcer below tooth #23. Diagnosis:

  1. Recurrent aphthous ulcer (minor)
  2. Herpetic ulcer
  3. Traumatic ulcer
  4. Squamous cell carcinoma
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Correct answer: A. Recurrent aphthous ulcer (minor)

  • A. Correct, per the clinical description. Minor recurrent aphthous ulcers present as round/oval, shallow, painful ulcers with a yellow-white pseudomembrane and erythematous halo on non-keratinized mucosa.
  • B. Herpetic ulcers typically present as multiple small grouped vesicles/ulcers, often on keratinized tissue (attached gingiva/hard palate), differing from a solitary minor aphthous ulcer.
  • C. A traumatic ulcer would have a clear history of mechanical/thermal injury correlating with the lesion location, not specified here.
  • D. SCC would present as a non-healing, indurated lesion with risk factors (tobacco/alcohol), not the typical recurrent aphthous pattern described.

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