Featured Patient Case #13 by UNMC College of Dentistry | Jan 11, 2022 Contributor: Dr. Roy Burkhalter 85-year-old female Presents with a pedunculated red/white nodule at teeth #6-8 measuring 2.0 cm x 1.5 cm. The patient has missing upper teeth with retained root tips at #6-8 For more than six months, the patient has noticed the area getting larger and non painful. Teeth #27 and #28 hit the area during chewing. Differential diagnosis should include: (choose 2 answers) Lipoma Pemphigus Pyogenic granuloma Peripheral giant cell granuloma Epulis Leukoplakia Lichen planus Odontogenic keratocyst Next course of action: Treat with acyclovir Treat with antifungal Treat with antibiotics Excisional biopsy No treatment is required None Histology of the lesion is as shown, most likely diagnosis is: Lipoma Pemphigus Peripheral giant cell granuloma Epulis Leukoplakia Lichen planus Odontogenic keratocyst None Time's up
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