: Question #3 A 38-year-old man comes to the physician because of a 3-week history of a painless growth in his mouth. He has no
: Question #3 A 38-year-old man comes to the physician because of a 3-week history of a painless growth in his mouth. He has no other medical conditions. He has smoked one pack of cigarettes daily for 38 years but recently switched to smokeless tobacco. He drinks alcohol socially on most days of the week. Physical examination shows white patches on the oral mucosa along the gums that cannot be scraped off with gauze. The lesions have a granular texture. A combination HIV-1/2 immunoassay is negative. A biopsy of the lesion shows a marked increase in the thickness of the stratum corneum and the presence of nucleated keratinocytes in this layer. Which of the following is the most likely diagnosis! Answer Image A Oral candidiasis B B Squamous cell carcinoma c Oral hairy leukoplakia
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