Fig. 1 Clinical photograph at presentation, left posterior maxillary edentulous alveolar ridge demonstrates a large, exophytic, lobulated, fungating red-blue exophytic mass.

History of the present illness
This is a 58-year-old white male presenting with a slow-growing lobular, exophytic, red-blue fungating lesion on the left posterior maxillary alveolar ridge.  It is four to five cm in diameter and has been present for one to two months.  The lesion is not painful.