Codes

Look For

Subscription Required

Diagnostic Pearls

Subscription Required

Differential Diagnosis & Pitfalls

• Lipoma – These are generally yellow, but some contain more fibrous tissue and appear pink.
• Oral papilloma
• Granular cell tumor
• Benign salivary gland tumor – These tend to be more firm and somewhat more deep-seated.
• Malignant salivary gland tumor
• Lobular capillary hemangioma (pyogenic granuloma) – Tends to be reddish-purple in color.
• Soft tissue tumors (eg, neural tumors)
• Medication-associated fibrous nodules – Occur in patients on cyclosporine after allogenic hematopoietic stem cell transplantation.
• Mucocele – Dome-shaped, bluish, and fluid-filled, but they may become sclerosed, organized, and fibrotic over time.
• Giant cell fibroma – A histologic variant, it has a papillary rather than smooth surface and is located mainly on the gingiva, tongue, and palate.
• Cowden syndrome – Presents with not solitary but multiple fibrous nodules and papules in the oral mucosa with typical concomitant skin tumors.

Best Tests

Subscription Required

Management Pearls

Subscription Required

Therapy

Subscription Required

References

Subscription Required