Pathology · single question

Flat dark brown mucosa lesion near premolars; no amalgam visible on radiograph. Which is NOT in the differential?

  1. Melanoma
  2. Sebaceous cyst
  3. Amalgam tattoo
  4. Physiologic pigmentation
Show answer and explanation

Correct answer: B. Sebaceous cyst

SEBACEOUS CYST = raised, pale/yellowish nodule — NOT a flat dark mucosal pigmentation. Flat dark mucosal pigmentation differential: amalgam tattoo (particles may be too small for radiograph), melanoma, melanotic macule, physiologic pigmentation, Peutz-Jeghers, Addison's.

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