Pathology · single question

Each of the following can be included in the differential diagnosis EXCEPT:

  1. Pleomorphic adenoma (minor salivary gland)
  2. Lipoma
  3. Verruca vulgaris
  4. Schwannoma
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Correct answer: C. Verruca vulgaris

Verruca vulgaris is a keratinized, rough, papillary HPV-induced lesion — the clinical picture (smooth, depressible, dome-shaped) does not match. Pleomorphic adenoma, lipoma, and schwannoma are all smooth, submucosal, well-circumscribed submucosal nodules that fit the description.

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