History of the present illness

This is a 30-year-old Hispanic male who had had a fast-growing swelling over the six to eight weeks prior to his visit (Figure 1). It involved the left posterior mandible in the area of teeth #s 17 & 18 extending to the left retromolar pad area. It was described to be 4 x 4 cm in size and ulcerated. The patient reported that it bled easily but was not painful. There was no evidence of underlying bone involvement.

Figure 1 This photograph was taken at first clinical presentation demonstrating a large, sessile, exophytic, lobular, red and ulcerated swelling of the left posterior mandibular in the area of teeth #s 17 & 18 extending to the retromolar pad area.