Yellow Papule on the Ventral Tongue

The following Case Challenge is provided in conjunction with the American Academy of Oral and Maxillofacial Pathology.

A 71-year old Caucasian male presented to the Dental Clinic at the University at Buffalo’s School of Dental Medicine, New York, USA, for routine dental care. Upon oral examination, an asymptomatic yellow papule with a broad base and superficial vasculature is seen in the left ventral side of the tongue. The lesion demonstrated a soft consistency upon palpation. The overlying lingual mucosa was unremarkable. The patient was not aware of the presence of this lesion.

After you have finished reviewing the available diagnostic information, make the diagnosis.