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Dentistry · Oral medicine: erythroplakia
Sample itemAmong oral potentially malignant lesions, which carries the highest risk of already showing dysplasia or carcinoma at biopsy?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Erythroplakia
Erythroplakia, a persistent red patch, has the highest malignant potential, and most lesions show severe dysplasia, carcinoma in situ or invasive carcinoma when biopsied. Early biopsy is essential.
Option by option
A. Oral lichen planus
Lichen planus carries a small risk.
B. Oral submucous fibrosis
OSMF carries a lower, though real, risk.
C. Homogeneous leukoplakia
Homogeneous leukoplakia has a lower risk than red lesions.
D. Erythroplakia (correct)
Correct. Red patches are the highest risk lesions.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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