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Chart No:542-6-04 Undiagnosed Lesion. Jessica Watkins Team 2. Patient information. 23 year-old Caucasian female with a non-contributory medical history. Patient is currently taking birth control. The lesion.
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Chart No:542-6-04Undiagnosed Lesion Jessica Watkins Team 2
Patient information • 23 year-old Caucasian female with a non-contributory medical history. • Patient is currently taking birth control.
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.
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
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.