Featured Patient Case #4

Contributor: Dr. Nehring

This 61-year-old Caucasian male presents for implant consultation at the site of tooth #4. The patient was unaware of the lesion.

History of the lesion:

Duration is unknown.
Oral examination: Non-tender, mobile, firm, whitish / yellowish, submucosal nodule of the right labial mucosa apical to # 6-8 measuring 1.0 x 1.0 x 0.7 cm.
Periapical radiograph of the area was wnl.
All teeth tested vital.

Differential diagnoses should include (choose 2):

Benign connective tissue tumors

Salivary gland tumors

Nasopalatine duct cyst

Mucocele

Periapical cyst

Next course of action:

Treat with acyclovir

Treat with antifungal

Excisional biopsy

No treatment is required

Histology of the lesion is as shown. Your diagnosis is:

Pleomorphic adenoma

Monomorphic adenoma

Pyogenic granuloma

Mucoepidermoid carcinoma

Sebaceous cyst

Lipoma