Maxillofacial Surgery 💊🦷

A 49 year old man presents with a uniform whitish-grey opaque macule on his top palate. It does not cause him any discomfort. The patches are sharply defined and are unable to be scraped off. There is no bleeding, erosions, or ulcers. He smokes around 15 cigarettes a day for the past 10 years. What is the SINGLE most likely diagnosis?

A 52 year old man has an ulcer at his right buccal mucosa for the past 3 months. It was initially a white homogenous lesion. He was prescribed hydrocortisone buccal tablets but the ulcer did not improve. His medical history is unremarkable. His ferritin, b12 and folate levels are within normal limits. On examination, the ulcer has a diameter of 1cm. There is a palpable 0.5 cm cervical lymph node on his right neck. What is the SINGLE most likely diagnosis?

A 48 year old alcoholic woman presents with a new ulcerated lesion on her left buccal mucosa. Previously, she had a white homogenous lesion on that area for the past 2 years. The ulcer occasionally bleeds. On examination, the ulcer has a diameter of 2 cm. She smokes 20 cigarettes a day for the past 20 years. What is the SINGLE most likely diagnosis?

A 45 year old male presents with a whitish-grey opaque area with red inflamed patches on his tongue. The patches are sharply defined and are unable to be scraped off. What is the SINGLE most likely diagnosis?

A 75 year old man has left-sided earache and discomfort when he swallows. There is ulceration at the back of his tongue and he has a palpable non-tender cervical mass. What is the SINGLE most likely diagnosis?