February 2008: Exophytic red palatal gingival swelling tooth # 8
Dolphine Oda, BDS, MSc
Drs. Erich Naumann and Mark Egbert
Seattle Children Hospital & Department of Oral & Maxillofacial Surgery, University of Washington
Case Summary and Diagnostic Information
This is an otherwise healthy 8 year-old-boy who underwent a punch biopsy for a small gingival swelling which was removed in March 2007. The lesion recurred in September 2007 in a much larger and more rapidly growing form (Figure 1). This lesion measured 1 X 1.5 cm in size and was red and vascular in color compared to the previously excised lesion, which was 8 X 4 mm in size and pink in color. The current lesion originated between teeth #s 8 & 9. Both lesions were not painful but the recurrent lesion was large enough to interfere with speech and eating. Occlusal radiograph of the first lesion was negative for any bony involvement.
Diagnostic Information Available
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