Case #10:

Case profile:

Patient: Adult, either sex

Case record:

Chief Complaint: The patient requests a routine examination. The patient has been aware of a blue lesion since childhood. The lesion has not changed in size. It is painful or bleeds only when traumatized.   Medical History: No abnormalities identified.   Dental History: No abnormalities identified.   Clinical Findings: The lesion is a flat, thickened, blue-purple lesion extending from the left buccal mucosa to the left commissure area. There is no evidence of a thrill, bruit, or neuropathy. The lesion bleeds only if it is pierced by a sharp instrument. The lesion is compressible, nontender, and fixed to the surface mucosa and underlying structures. The surface of the lesion is smooth. The lesion blanches upon pressure.

Images:

Blue Lesion of Left Buccal Mucosa LG