History of Present Illness
Raul is 55-year-old Hispanic male who reports with a chief complaint of, “I have a bump in my mouth that is getting bigger.” He first noticed it about 2 months prior, but is unable to recall any antecedent trauma. He does not relate any pain, but is annoyed by its presence and is starting to worry because it is enlarging.
The biopsy shows an ulcerated inflamed exophytic nodular lobulated proliferation of granulation tissue. The inflammatory infiltrate consists of neutrophils, eosinophils, lymphocytes, plasma cells and histiocytes. The stroma is edematous and contains numerous ectatic congested thin-walled vascular channels lined by plump reactive endothelial cells. The adjacent surface epithelium is hyperplasia and hyperparakeratotic.
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