Featured Patient Case #21 by UNMC College of Dentistry | Nov 18, 2022 Contributor: Dr. Mack 34- year-old female presents with a yellow submucosal nodule with well defined margins apical to #27 and #28 measuring 12 x 10 mm. The lesion was noticed a month ago and is soft and tender to palpation. No changes noted on the PA of #27 -28 area. The differential diagnosis includes (choose 3): Periapical cyst Solitary circumscribed neuroma Granular cell tumor Lipoma Melanoma Next course of action is: Biopsy Wipe test Nikolsky test Vitality testing of all mandibular teeth The blue and yellow arrows are showing: Fibroblasts and blood vessels Fat cells and capsule Lamellar bone and lymphocytes Granular cells and capsule Final diagnosis based on the microscopic finding is: Traumatic neuroma Solitary circumscribed neuroma Granular cell tumor Lipoma Melanoma Time's up
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