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. 2014 Mar 5;8(1):6–14. doi: 10.5681/joddd.2014.002

Table 2. Characteristics of potentially malignant disorders .

Disorders Clinical features Locations Risk of malignancy
Leukoplakia White plaque Cheeks, lips, gingivae 15.6–39.2%
Early (thin) NA*
Homogenous 1–7%
Verruciform 4–15%
Speckled 18–47%
Erythroplakia A predominantly red lesion Mouth floor, tongue, retromolar pad, soft palate 51%
Proliferative verrucous leukoplakia (PVL) Multifocal white patch or plaque + rough surface projections Gingivae 63.3–100%
Viadent leukoplakia White patch or plaque Gingivae, buccal and labial vestibule NA
Candida leukoplakia Firm, white leathery plaques Cheeks, lips, palate 4–5 times more common than leukoplakia
Smokeless tobacco keratosis White plaque Buccal or labial vestibule NA
Palatal keratosis associated with reverse smoking White patches and plaques Palate, tongue 83.3% dysplasia 12.5% SCC
Verrucous hyperplasia Extensive thick white plaque Buccal mucosa 68% dysplasia
Oral verrucous carcinoma Extensive thick white plaque Buccal mucosa 20%
Dyskeratosis congenita Oral leukoplakia Buccal mucosa, tongue, oropharynx NA
Actinic cheilosis Diffuse, poorly defined atrophic, erosive, ulcerative or keratotic plaques Lower lip 6–10%
Keratoacanthoma Firm,sessile non tender nodule + a central plug of keratin Lips, tongue, sublingual region 24%
Oral submucous fibrosis Mucosal rigidity Buccal mucosa, retromolar area, tongue, soft palate 7–26%
Lichen planus Reticular, erosive, atrophic, bullous, ulcerative, popular, plaque like Posterior buccal mucosa, tongue, gingivae, palate, vermilion border 0.4–3.7%
Discoid lupus erythematosus White plaques with elevated borders, radiating white striae and telangiectasia Cheeks, lips, palate NA
Epidermolysis bullosa Bullae and vesicle formation following mild trauma Cheeks, tongue, palate 25%
Verruciform xanthoma A well demarcated mass with a yellow-white or red color and a papillary or verruciform surface Gingivae, tongue, buccal mucosa, vestibular mucosa, floor of the mouth NA
Graft-versus host disease Atrophy, erythema, erosions, ulcers, lichenoid lesions Cheeks, tongue, lips, buccal & labial vestibule NA

*NA: not assigned