Clinical quiz: White lesion on the upper labial mucosa

 

A 45-year-old male presents with a 1-2 cm white lesion on the upper labial mucosa, noted incidentally during routine dental appointment.

The lesion is slightly firm, sore on palpation, and has a central superficial ulcer. The patient was unaware of its presence.

Medical history includes GORD, childhood asthma, eczema, HPV booster earlier in the year, and a past history of sexually transmitted disease. He is a non-smoker with minimal alcohol intake. No systemic symptoms were reported....

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