DAY 2 — CASE 19: A lesion is found on the cheek at the level of the occlusal plane, described as a raised, solid lesion. What is the correct morphological term?

Correct answer: C. Papule

• A. A nodule is a solid raised lesion LARGER than 5mm (some define as >1cm). If the lesion at the level of the teeth (linea alba location) is small and flat-raised, it may be better described as a papule.
• B. A vesicle is a small fluid-filled blister — not solid.
• C. A PAPULE is a small (<5mm), solid, raised lesion. A small raised solid lesion on the cheek at the occlusal line (could be a small fibroma, irritation fibroma, or bite cheek keratosis) is classified as a papule if <5mm.
• D. A macule is FLAT (not raised) — just a color change. Not correct for a raised lesion.