Figure 1.    This is a clinical photograph from when the patient first presented to the Oral Surgery clinic, University of Washington.  Note the slight swelling with surface thickening.


History of the present illness
This is a healthy 15-year-old Caucasian girl who first presented to the University of Washington Pediatric clinic with slight mucosal thickening and swelling in the right hard palate below teeth #s 4 & 5 (Fig 1).  The swelling was asymptomatic and of unknown duration.  It was the same color as the surrounding mucosa and was firm to palpation.  It was smooth-surfaced with defined borders around 2 X 1.5 in length and width.  A small Incisional biopsy was performed at the Oral Surgery clinic, University of Washington.