In this oral pathology case, a healthy 65-year-old male patient of record presents for his recare/periodontal maintenance visit. He reports no concerns, but a clinical head and neck exam reveals a white, flat, 5 mm x 5 mm irregular-bordered lesion on the lower labial tissue. Based on the presentation and clinical exam, can you diagnose this lesion?
Presentation and clinical exam
A healthy 65-year-old male patient of record for several years presents for his recare/periodontal maintenance visit. He reports no concerns. A clinical head and neck exam reveals a white, flat, 5 mm x 5 mm irregular-bordered lesion on the lower labial tissue (figures 1-3).
The lesion had been present for approximately two months, but the patient did not remember experiencing any trauma to the area. Specific etiology for the lesion is unknown. The area is not tender to palpation, and, for the most part, the patient has ignored the lesion.
Figure 1
Figure 2
What are your differentials and recommended course of treatment for this patient?
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CALL FOR PATHOLOGY CASES
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Editor's note:
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For each case, Breakthrough Clinical readers are invited to send their answers to [email protected]. The final diagnosis and recommended treatment appear in the following month's newsletter.
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