Questão de Odontologia — Patologia oral e Maxilofacial — IDCAP 2024
OdontologiaPatologia oral e Maxilofacial
- Código
- qg223889
- Banca
- IDCAP
- Órgão
- HEG
- Ano
- 2024
- Nível
- Superior
- Cargo
- Programa de Residência em Área Profissional da Saúde - Cirurgia Bucomaxilofacial
During a consultation, a 45-year-old chronic smoker presents with a whitish lesion on the floor of the mouth, approximately 1 cm in diameter, painless and without signs of inflammation. The lesion has been present for about three months without regression. The dentist performs an incisional biopsy for histopathological analysis, suspecting a potentially malignant lesion. Considering the clinical context and the principles of stomatological diagnosis, evaluate the following statements:
- AWhite lesions on the oral mucosa of long duration are often signs of chronic candidiasis and can initially be treated with topical antifungals, without the need for biopsy.
- BThe differential diagnosis should include leukoplakia, which is a potentially malignant whitish lesion, especially in smokers, requiring histopathological analysis for confirmation.
- CThe history of smoking is not relevant for the diagnosis of oral lesions, as these changes are commonly associated with autoimmune disorders and nutritional deficiencies.
- DA painless, persistent whitish lesion of traumatic origin usually resolves spontaneously after the removal of the causal agent, without the need for additional tests.