Lesão oral com aspectos histopatológicos sugestivos de condiloma acuminado em paciente indígena: relato de experiência.

This study reports the dental care of an 18-year-old Indigenous male patient presenting with an approximately 4-mm nodular lesion on the lower lip. The lesion had been present for about two months, with a history of itching, bleeding, and local trauma. Traumatic fibroma was the initial clinical hypothesis, and an excisional biopsy was performed on November 26, 2025. Histopathological examination of two specimens from the same clinical lesion showed chronic ulcerated inflammation with reactive hyperplasia in one specimen and acanthosis, parakeratosis, early papillomatosis, and koilocytosis in the other, leading to a report of morphological features suggestive of condyloma acuminatum, with no signs of malignancy. No molecular tests were performed to confirm human papillomavirus infection or determine a viral genotype. After the pathology report, the patient was referred to the local Multidisciplinary Indigenous Health Team for continued follow-up. This case highlights the importance of clinicopathological correlation in the differential diagnosis of oral lesions and of continuity of care through a culturally respectful approach.