Oral Multifocal Papillary Lesions in a Young Child: Clinico- Pathologic and Medico-Legal Considerations

Services (CPS) for further investigation and for ensuring child safety [6]. A diagnosis of HPV-positive multifocal oral lesions in a child could potentially represent condyloma acuminatum or Heck’s disease since clinical and histopathology findings and the presence of HPV without specific subtyping are not pathognomonic for either disease. We report a unique case of a 12-year-old boy presenting with oral multifocal papillary mucosal lesions that were confirmed positive for HPV by histopathology and in situ hybridization. California CPS was notified as per our clinical protocols for further investigation.