Oral Leukoplakia Follow-up

Updated: Mar 13, 2019
  • Author: Christopher M Harris, MD, DMD; Chief Editor: Arlen D Meyers, MD, MBA  more...
  • Print
Follow-up

Further Outpatient Care

Care includes monitoring the efficacy of surgical or systemic treatment with clinical observation.

Next:

Further Inpatient Care

Oral leukoplakia (OL) is managed exclusively in an outpatient setting.

Previous
Next:

Deterrence/Prevention

If etiologic factors can be determined, avoidance of these factors is recommended.

Previous
Next:

Prognosis

Approximately 10% of patients who develop OL have invasive carcinoma in the lesion (6%) or will develop carcinoma (4%). [18] Despite excision, small dysplastic lesions can be followed by multiple carcinomas and a fatal outcome. In addition, some dysplastic OL lesions may have a worse prognosis than isolated carcinomas without leukoplakia. However, the fact that many dysplastic OL lesions can regress spontaneously shows that the behavior of dysplastic lesions is unpredictable and that no reliable management protocol has been determined. Prolonged and close follow-up care is essential, but the prognosis may still be poor.

Previous
Next:

Patient Education

See the list below:

  • Patients must be aware that lesions may recur. They should be able to monitor the lesions and report any changes. They should maintain excellent oral hygiene.

  • For excellent patient education resources, visit eMedicineHealth's Cancer Center. Also, see eMedicineHealth's patient education article Cancer of the Mouth and Throat.

Previous