Featured Patient Case #23

Contributor: Dr. Peterson

62-year-old female presents with an asymptomatic lesion of the left soft palate measuring 4mm. Lesion was noted incidentally.

This lesion can be best described as:

Macule

Ulcer

White plaque

Papillary sessile nodule

Papillary peduculated nodule

What is your most likely clinical diagnosis:

Condyloma

Verrucous carcinoma

Verrucous leukoplakia

Squamous papilloma

Verruciform xanthoma

Best management option includes:

Ten days of Acyclovir

Ten days of Nystatin

Excisional biopsy

Incisional biopsy

Ten days of Penicillin

Blue arrows are showing (choose 2):

Ulcer

Epithelium

Finger like projections

Nodule

Foam cells

Red arrows are showing:

Epithelium

Nodule

Dilated blood vessels

Fibroblast

Foam cells