Papillary Lesion of the Posterior Maxillary Gingiva
Abstract
CASE PRESENTATION
An 86-year-old female was referred to a periodontics practice for evaluation and biopsy of a gingival growth distal to the maxillary right second molar. The lesion was reported to be present for one month, without change in size. The lesion was of normal mucosal color, papillary in shape, and measured approximately one centimeter. The lesion was asymptomatic, although the patient reported being aware of its presence due to occasional discomfort when touched by her tongue.
Extraoral and intraoral examinations were otherwise unremarkable. The patient’s medical history included breast cancer in 1984, recurring in 2003, but a review of systems revealed no current disease. CBCT imaging demonstrates bony involvement, with thinning of the maxillary cortex distal to tooth no. 2. The clinical differential diagnosis included giant cell granuloma and fibroma. The lesion was excised and submitted for histopathologic examination. Hematoxylin and eosin (H&E) stains show a papillary mass.
Recommended Citation
(2025)
"Papillary Lesion of the Posterior Maxillary Gingiva,"
Pennsylvania Dental Journal: Vol. 92:
No.
3, Article 4.
Available at:
https://commons.ada.org/pdj/vol92/iss3/4