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Oral squamous cell carcinoma: pathology, staging, spread

Oral Pathology and Oral Microbiology · Dental (BDS)

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Why is a painless, long-standing white patch on the lateral tongue taken seriously? The lateral border of the tongue is the highest-risk site for oral squamous cell carcinoma. A persistent white or red patch (leukoplakia/erythroplakia) there can harbour dysplasia — abnormal cell changes that may progress to invasive carcinoma. This is why dental curricula teach systematic visual examination of these sites: early lesions are often painless, and painlessness does not mean harmless.

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