A 55-year-old male presented with complaints of an irritating lesion on his mouth. The patient noticed the lesion 2 months prior to this presentation. He denied any inducer trauma but was very distressed as the lesion was getting bigger by the day.
Medical & social history Depression Type 2 diabetes mellitus Hypercholesterolemia Hypertension Osteoarthritis 2-3 beers /week Medication history The patient had a previous medication history of: Desvenlafaxine, Glibenclamide, Simvastatin, Combination of Hydrochlorothiazide and Triamterene, Paracetamol ADR history Angioedema due to lisinopril Physical examination Blood pressure: 126/ 76 mmHg, Pulse: 76/min Intraoral Examination: Lobulated (2.5 cm x 1.5 cm), pedunculated, smooth surfaced, soft tissue mass ascending from the posterior right buccal mucosa (Figure 1& Figure 2). Histological examination An ulcerated and inflamed exophytic nodular…