Pregnancy Tumor (Epulis, Pyogenic Granuloma)
Gingival enlargement may be localized, forming a tumorlike mass that usually originates in an interdental papilla. It is red and soft and usually bleeds easily. The estimated incidence of this lesion in pregnancy is about 1%. Note the accompanying gingivitis in this example.
Kaposi's Sarcoma in AIDS
In people with AIDS, Kaposi's sarcoma may appear in the gums, as in other structures. The shape of the lesions in this advanced example might suggest hyperplasia, but the color suggests Kaposi's sarcoma. Be alert for less obvious lesions.
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