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Clinicopathologic Conference
A slow-growing anterior maxillary mass
A 43-year-old-male with no contributing medical conditions presented to his dentist for evaluation of a swelling in his left maxilla (Figure 1). The patient first noticed the swelling after blunt trauma to the area; however, nearly 1 year later, the swelling had still not resolved. He denied any pain or purulence. He had no history of tobacco, alcohol, or drug use. His physical exam revealed a 2-cm × 2-cm, poorly demarcated, firm mass in the left anterior maxilla causing mobility of the associated teeth.Red exophytic mass of the maxillary anterior gingiva
A 79-year-old male presented with a red and ulcerated exophytic growth between his maxillary left lateral incisor and canine (Figure 1A). The patient denied any paresthesia or pain associated with the lesion and had no evidence of cervical lymphadenopathy. He denied fever, chills, nausea, vomiting, diarrhea, constipation, or recent weight change. The patient reported a history of smoking a pack of cigarettes a day for approximately 30 years but reported quitting about 25 years previously. He did not report any history of using smokeless tobacco, and he reported drinking approximately 2 glasses of wine per day.
