ConditionCharacteristicsHistopathology
Condyloma acuminatumSingle or multiple; pedunculated, smooth, or dome-shaped; located on the dorsal tongue and lingual frenulumBroad hyperplastic papillary projections with cells demonstrating viral changes, such as koilocytosis, parakeratosis, and increased nuclear atypia
Irritation fibromaDome-shaped, smooth papule typically located along the bite lineMass of fibrous tissue covered by normal squamous mucosa
Oral squamous papillomaSingle exophytic growth located on the ventral tongueSquamous epithelium arrayed in finger-like projections with surrounding hyperkeratosis
Pyogenic granulomaSingle rapidly growing, friable, red papule usually on the lip or gingival mucosa; may be pedunculated or sessileLobular pattern of vascular proliferation with inflammation and edema
Squamous cell carcinomaThickened white or red patches, ulcerations, or papules that are usually localized to the lateral tongueMarked squamous epithelial atypia with nests; keratin pearls; and irregular, infiltrative stromal invasion