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Fordyce granules or papules are one of the common soft tissue variations seen in the oral cavity. They are ectopic sebaceous glands characterised by yellowish-white papular lesions scattered throughout the oral mucous membrane, but more common in the buccal mucosa. These granules may be mistaken for mucoceles, fibromas or other minor salivary gland lesions. These granules do not undergo pathological changes and do not require any treatment.


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Figure 1: Fordyce granules appearing as scattered yellowish granules on right buccal mucosa.
Figure 2: Fordyce granules. Note the small, yellowish granules which are discretely separated and projecting slightly above the surface on the left buccal mucosa.
Figure 3: Fordyce granules. Note the small, yellow granules which are discretely separated and projecting slightly above the mucosal surface and seen extending from the left commissure to the buccal mucosa posteriorly.
Figure 4: Fordyce granules. Note the small, yellowish granules which are discretely separated and projecting slightly above the surface on the right buccal mucosa.
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