Pathology · single question

Which category best describes the nature of this lesion?

  1. Neoplastic
  2. Reactive / Traumatic
  3. Developmental
  4. Infectious
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Correct answer: B. Reactive / Traumatic

A sessile buccal mucosa lesion at the occlusal line that the patient can feel with the tongue is most consistent with a traumatic fibroma or a mucocele — both are reactive lesions from chronic cheek biting or minor salivary duct rupture. Neoplastic lesions (A) are less common in this location and usually grow more slowly without a triggering event.

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