Featured Patient Case #5 by UNMC College of Dentistry | May 11, 2021 Contributor: Dr. Matthew Weber A 23-year-old male presents with an exophytic mass of the left retromolar trigone that measures 1.5 cm x 1.5 cm. Which of the following should not be included on the differential diagnosis? Peripheral giant cell granuloma Mucocele Pyogenic granuloma Central giant cell granuloma Squamous cell carcinoma None What is the most appropriate next step for diagnosing this lesion? Excisional biopsy Cytology Fine-needle aspiration Incisional biopsy None Based on the histopathology what is the correct diagnosis? Peripheral giant cell granuloma Central giant cell granuloma Pyogenic granuloma Squamous cell carcinoma Myofibroma None How is this lesion best managed? Marginal resection Resection and chemotherapy Resection, chemotherapy and radiation Resection and radiation Radiation only None Time's up
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