Pathology · single question

Exophytic lesion on the tongue (photo). All are reasonable differential diagnoses EXCEPT:

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  1. Schwannoma
  2. Papilloma
  3. Fibroma
  4. Verruca vulgaris
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Correct answer: A. Schwannoma

  • A. Correct — the EXCEPTION. A schwannoma is a deep, submucosal nerve-sheath tumor; it is the odd one out among surface/exophytic lesions.
  • B. Incorrect (it IS a valid differential). Papilloma is a common exophytic, often cauliflower-like surface growth.
  • C. Incorrect (valid differential). Irritation fibroma is a common firm exophytic nodule.
  • D. Incorrect (valid differential). Verruca vulgaris is a papillary surface lesion that can occur intraorally.

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