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Unresolved Lesion of Facial Gingiva on 23-Year-Old Female Patient

Detailed information about a non-symptomatic 4mm x 5mm raised red lesion on the mandibular facial gingiva of a young female patient. The lesion appeared during high school with no reported changes. The differential diagnosis includes flat papilloma, pyogenic granuloma, peripheral giant cell granuloma, and peripheral ossifying fibroma.

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Unresolved Lesion of Facial Gingiva on 23-Year-Old Female Patient

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  1. Chart No:542-6-04Undiagnosed Lesion Jessica Watkins Team 2

  2. Patient information • 23 year-old Caucasian female with a non-contributory medical history. • Patient is currently taking birth control.

  3. The lesion • This patient presented with a 4mm x 5mm, raised, red, sessile-to-pedunculated papule with a velvety surface on the mandibular facial gingiva around the area of tooth #26. • The patient was aware of the lesion and reports its appearance during/ after high school. • The patient experiences no symptoms from this lesion.

  4. Clinical photographs

  5. Clinical photograph

  6. Patient Dialogue • Are you aware of this lesion? Yes • When did you first notice this lesion? Around the time of high school • Has the lesion changed over the years? No • Does the lesion ever bother you? No • Did you changes your medications or lifestyle around the time of the appearance of this lesion? No

  7. Differential Diagnosis • Flat papilloma • Pyogenic granuloma • Peripheral giant cell granuloma • Peripheral ossifying fibroma • A definitive diagnosis has not yet been reached. After a pathology consult, it was recommended that an excisional biopsy be performed on this lesion.

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