Featured Patient Case #2 by UNMC College of Dentistry | Feb 3, 2021 79-year-old male presents with a painful lesion on the gingiva #9 of one month. History of the lesion: Lesion has grown over a few years. Oral examination: 2 x 0.8 cm well defined ulceroproliferative nodule with rolled out margin and partly covered by yellow pseudomembrane on the facial gingival margin of #9. The differential diagnosis includes (choose 2): Chronic traumatic ulcer Pemphigus vulgaris Pyogenic granuloma Squamous cell carcinoma Lichenoid mucositis What is the next course of action? Treat with acyclovir Treat with antifungal Incisional biopsy Excisional biopsy No treatment is required Histology of the lesion is as shown. What is your diagnosis? Pyogenic granuloma Lichenoid mucositis Squamous cell carcinoma TUGSE Pemphigus vulgaris Time's up
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