Forum for Clinical and Surgical Oral Pathology

Case BBOPF 09-7

Dr. Robin Howell (Halifax, Canada) is requesting your opinion. Please send your comments in the window located below the images. This case will be posted from September 3-10, 2009. A summary of the responses will be posted in BBOP.

Clinical History

An 82 year old female presented with a persistent verrucous exophytic mass extending from the right posterior maxillary alveolus through the tuberosity, anterior tonsillar pillar and retromolar pad to the right maxillary buccal vestibule.

It was first noted in 2007 as a persistent mass of the right maxillary buccal vestibule following extraction of the right maxillary 2nd and 3rd molars.

Biopsies in 2007, June 2009 and July 2009 all have a similar microscopic appearance.

What is your diagnosis?

Images

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Case prepared by Dr. Alfredo Aguirre (BBOP Manager) and Daniel Emmer (Web Administrator, University at Buffalo School of Dental Medicine).