A 45-year-old female walks into your office complaining of a 'wart' on her gums that has been there for 3 years. Your exam reveals an asymptomatic well-circumscribed, slightly elev... A 45-year-old female walks into your office complaining of a 'wart' on her gums that has been there for 3 years. Your exam reveals an asymptomatic well-circumscribed, slightly elevated, papillomatous lesion on the buccal gingiva of tooth #14. A likely diagnosis is:
Understand the Problem
The question describes a clinical scenario involving a 45-year-old female with an asymptomatic lesion on her gums and asks for a likely diagnosis based on the symptoms provided.
Answer
Verruciform xanthoma.
The final answer is verruciform xanthoma.
Answer for screen readers
The final answer is verruciform xanthoma.
More Information
The lesion described in the scenario is consistent with verruciform xanthoma, an unusual lesion often mistaken for papillomatous growths. It is characterized by a well-circumscribed, papillomatous appearance on the gingiva.
Tips
A common mistake is confusing verruciform xanthoma with other papillomatous lesions, such as squamous cell papilloma. Proper identification is key to diagnosis.
Sources
- Squamous cell papilloma of the gingiva with a “garlanding ... - pmc.ncbi.nlm.nih.gov
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