Featured Patient Case #5

Contributor: Dr. Matthew Weber

A 23-year-old male presents with an exophytic mass of the left retromolar trigone that measures 1.5 cm x 1.5 cm.

Which of the following should not be included on the differential diagnosis?

Peripheral giant cell granuloma

Mucocele

Pyogenic granuloma

Central giant cell granuloma

Squamous cell carcinoma

What is the most appropriate next step for diagnosing this lesion?

Excisional biopsy

Cytology

Fine-needle aspiration

Incisional biopsy

Based on the histopathology what is the correct diagnosis?

Peripheral giant cell granuloma

Central giant cell granuloma

Pyogenic granuloma

Squamous cell carcinoma

Myofibroma

How is this lesion best managed?

Marginal resection

Resection and chemotherapy

Resection, chemotherapy and radiation

Resection and radiation

Radiation only