BUCCAL LESIONS

María Fernanda Rueda Villamizar

Laura Vanessa López
Daniel Fernando Torra
July Daniela Osorio
ORAL LEUKOPLAKIA
▪ Leukoplakia is defined as “A white
plaque of questionable risk having
excluded (other) known diseases
or disorders that carry no
increased risk for cancer”
▪ Oral leukoplakia should be
distinguished from miscellaneous
benign and/or potentially
malignant disorders that may be
seen white or predominantly white
diseases of the oral mucosa.
 ORAL LEUKOPLAKIA
Clinically, leukoplakia may be
affect any part of the oral and
▪ Homogenous lesions:
oropharyngeal cavity and can are characterized by uniformly flat, thin, uniformly
be divided into two subtypes white in colour and shows shallow cracks of the
including homogeneous and surface keratin
non-homogeneous types.
▪ Non Homogeneous lesions:
have been defined as a white and red lesion (known
as erythroleukoplakia) that may be either
irregularly flat (speckled) or nodular.
*Verrucous leukoplakia is yet another type of non-
homogenous leukoplakia*
▪ Proliferative verrucous leukoplakia, which is a
formof verrucous leukoplakia, characterized by
multifocal presentation. It has a strong potential
for malignant transformation and is resistance to
treatment.
ORAL LEUKOPLAKIA
▪ Oral leukoplakia should be confirmed by
mucosal biopsy. But before biopsy, some
staining methods may be used as a
diagnostic aid.

▪ Treatment
The most commonly preferred treatment options
are surgical excision or CO2 laser therapy. In
widespread lesions, photodynamic therapy may
be considered. Cryotherapy is another preferred
destructive method. Non-surgical treatment
modalities might be considered in selected
patients.
 ORAL ERYTHROPLAKIA

 Erythroplakia is defined as “A fiery red

patch that can not be characterized
clinically or pathologically as any other
definable disease”.

 Erythroplakia and/or erythroleukoplakia

is a red or erythematous patch of the
oral mucosa and is associated with
significantly higher rates of dysplasia,
CIS, and invasive carcinoma than
leukoplakia
 ORAL ERYTHROPLAKIA
Clinical appearance is
characterized by flat or even
depressed erythematous change
 It mainly occurs in the middle aged and of the mucosa without a patch
the elderly. Male gender is most lesion. Both red and white
frequently affected. Mostly, a solitary changes in the same lesion refer
lesion occurs over the surface of any to as “erythroleukoplakia”.
part of the oral cavity. But the most
commonly affected areas were reported
as the soft palate, the floor of the mouth,
and the buccal mucosa

 Etiopathogenesis is not known exactly.

Chewing tobacco and alcohol use are the
possible etiologic factors for the
development erythroplakia.
 ORAL ERYTHROPLAKIA
 Histopathologically, moderate or severe
dysplasia was usually seen in lesion with
erythroplakia. Malignant transformation
rates is very high (vary from 14% to 50%), so
it needs to be treated expeditiously.

 Treatment
The ideal treatment for erythroplasia is
surgical excision. Due to its superficial
nature, in dysplastic lesions in situ it is more
important that the excision is more extensive
than deep. But, since epithelial changes can
extend into the excretory ducts of the salivary
gland in the area, the surgical border should
not be very superficial.