Clinical Presentation of Surface Lesions and STE

The clinical Presentation of surface oral mucosal lesions
The clinical presentation of surface oral mucosal lesions is characterized by changes in the color of the epithelium with visible borders (Sim 2017). Changes in the color or texture of the area are often the earliest clinical manifestations of the lesion.

The color of the lesion may be uniformly or speckled red, uniformly or mostly white, or a mixture of red and white. Ulceration or induration of the lesion is a common next step. As this happens, patients may note pain, discomfort, and other symptoms.

The clinical presentation of soft tissue enlargement
A soft tissue enlargement has two clinical presentation types. In a reactive soft tissue enlargement, the swelling develops rapidly. Its growth rate could be measured in hours, days, or weeks (University of Iowa College of Dentistry and Dental Clinics).

Patients with reactive soft tissue enlargement often report pain in the area where the enlargement is located
In the case of a soft tissue tumor, the enlargement usually occurs over a period of weeks to months. The growth rate can range from weeks to years.

When the tumor is benign, it often features a slow growth rate that could be measured in years. Benign tumors typically have defined edges or borders. A benign tumor could shift teeth into a new position.
Malignant Neoplasm
A malignant neoplasm or cancer is typically associated with a patient’s report of pain. These malignant growths often cause ulceration of the epithelium. As cancer grows, it may infiltrate the surrounding muscle, ligaments, bones, nerves, blood vessels, and connective tissue.

This results in an increase in pain. The continued growth may cause visible swelling or distortion of the tissues from the extra-oral view.

A malignant tumor could loosen teeth from their place in the gum tissue. The patient may have swollen lymph nodes with a malignant tumor that has spread from its original growth site

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