Pathology · single question

Photo: a bluish discoloration of the gingiva near the third molar (extraction) area. Most likely?

  1. Foreign body (amalgam tattoo)
  2. Hemangioma
  3. Melanoma
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Correct answer: A. Foreign body (amalgam tattoo)

  • A. Correct. A bluish-gray mucosal patch near a prior extraction/restoration site is typically an amalgam tattoo — metallic foreign-body particles deposited in the tissue.
  • B. Incorrect. A hemangioma blanches with pressure and is a vascular proliferation, not metallic pigment.
  • C. Incorrect. Melanoma would be an irregular, growing, darkly pigmented lesion; the described post-extraction bluish patch fits foreign-body tattoo.

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