History of the present illness

This is a 65-year-old white female with a rapidly enlarging gingival swelling interproximal to teeth #s 19 & 20. This swelling was of three weeks’ duration and is red and ulcerated. The lesion was not painful and the patient's only complaint was that the lesion was growing larger. It was 0.8 x 1.2 cm in greatest dimensions. Radiographs were negative for any bony changes. The patient denied tobacco use. She drinks 1-2 glasses of wine per week.

Figure 1 Photograph is taken at clinical presentation demonstrating an exophytic, red and ulcerated gingival mass on the buccal aspect between teeth #s 19 & 20.