The patient first presented with an asymptomatic small and pink gingival swelling involving tooth #8 only. It was stated to be of two weeks’ duration. Under local anesthesia, the first lesion was excised in March 2007 at the Department of Oral Medicine, University of Washington. In September 2007, the patient presented with a recurrence of a much larger gingival swelling (Figure 1). The recurrence was much more vascular and thus red in color.
Figure 1 This photograph represents the six-month recurrence taken in September 2007. Note the size and color of the palatal gingival swelling. The labial gingiva is also red and slightly swollen.