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MEDizzy
USMLE
Dermatology Test 1
A 58-year-old truck driver presents with a painless mass in his anterior mandibular vestibule. It has grown in size in the past 6 months. Examination shows a 3 × 4 cm white-gray lesion with an irregular surface. Social history is positive for a 35-year chewing tobacco habit. What is the likely treatment for this lesion?
Explanation
ExplanationThis description is characteristic of verrucous carcinoma. It is a low-grade slow growing malignancy of squamous epithelium closely associated with chewing tobacco use. Treatment is surgical resection with margins of at least 1 cm
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