Heck's disease, also known as Focal Epithelial Hyperplasia, is an asymptomatic, benign neoplastic condition characterized by multiple white to pinkish papules that occur diffusely in the oral cavity.
[1][2]: 411 It can present with slightly pale, smooth or roughened surface morphology.
[3] It exhibits surface cells with vacuolated cytoplasm around irregular, pyknotic nuclei and occasional cells with mitosis-like changes within otherwise mature and well-differentiated epithelium.
A distinguishing histologic feature is elongated rete ridges with mitosoid bodies.
[5] Possible treatment may be excisional biopsy for lesions of functional or aesthetic concern.