oasisImage of the Week: Persistent ‘mucocele’ in a 16 year old boy
A 16 year old boy had a swelling in his right lower lip removed at age 4 while living overseas. At that time the surgeon told the father that it was multiple small mucoceles and that he could not get all of it. The specimen was sent to a general pathologist who confirmed it as a mucocele.
Between the ages of 13 and 15, the lesion returned, larger and more sore.
It was excised again at age 15 and at that time it was diagnosed as a verruca vulgaris with submucosal capillary ectasia and edema with stromal inflammation. They now present to your office with a recurrent lesion. They say that it hasn’t changed much since the last surgery.
What do you think it is? The dotted red lines mark the area of an incisional biopsy.
Ian Furst, Coronation Dental Specialty Group