Conclusions

A thorough knowledge of the clinical appearance of white lesions on the tongue is essential. A white homogeneous plaque on the dorsum of the tongue needs careful monitoring and assessment, due to the risk of malignant transformation. The advancing older age and clinical increase in the size and unique location on the tongue warrant evaluation. Counselling about cessation of smoking or smokeless tobacco must be enforced forcefully in such affected individuals to prevent the risk of malignant transformation and increase the quality of life.