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Traumatic Neuroma of the Hard Palate Mimicking a Small Salivary Gland Tumor-A Case Report.
Nelke, Kamil; Janeczek, Maciej; Pasicka, Edyta; Zak, Krzysztof; Lukaszewski, Marceli; Nienartowicz, Jan; Gogolewski, Grzegorz; Maag, Irma; Kuropka, Piotr; Dobrzynski, Maciej.
Afiliación
  • Nelke K; Maxillo-Facial Surgery Ward, EMC Hospital, Pilczycka 144, 54-144 Wroclaw, Poland.
  • Janeczek M; Academy of Applied Sciences, Health Department, Academy of Silesius in Walbrzych, Zamkowa 4, 58-300 Walbrzych, Poland.
  • Pasicka E; Division of Animal Anatomy, Department of Biostructure and Animal Physiology, Wroclaw University of Environmental and Life Sciences, Kozuchowska 1, 51-631 Wroclaw, Poland.
  • Zak K; Division of Animal Anatomy, Department of Biostructure and Animal Physiology, Wroclaw University of Environmental and Life Sciences, Kozuchowska 1, 51-631 Wroclaw, Poland.
  • Lukaszewski M; Academy of Applied Sciences, Health Department, Academy of Silesius in Walbrzych, Zamkowa 4, 58-300 Walbrzych, Poland.
  • Nienartowicz J; Department of Anaesthesiology and Intensive Care, Sokolowski Hospital, Alfreda Sokolowskiego 4, 58-309 Walbrzych, Poland.
  • Gogolewski G; Private Practise of Maxillo-Facial Surgery, Romualda Mielczarskiego 1, 51-663 Wroclaw, Poland.
  • Maag I; Department of Emergency Medicine, Wroclaw Medical University, Borowska 213, 50-556 Wroclaw, Poland.
  • Kuropka P; Maxillo-Facial Surgery Ward, EMC Hospital, Pilczycka 144, 54-144 Wroclaw, Poland.
  • Dobrzynski M; Division of Histology and Embryology, Department of Biostructure and Animal Physiology, Wroclaw University of Environmental and Life Sciences, Cypriana K. Norwida 25, 50-375 Wroclaw, Poland.
Biomedicines ; 12(8)2024 Jul 29.
Article en En | MEDLINE | ID: mdl-39200153
ABSTRACT
In the case of any pathologies arising in the hard palate, it is always important to exclude their possible odontogenic origins. Cone-beam computed tomography is mandatory. In cases where a possible non-teeth-related pathology is confirmed, each clinician should remember possible differential diagnostics. Many small salivary glands between the mucosa and bone are present in this palatal area. Both benign and malignant tumors arising from the small glands, and mucosa of the hard palate, might occur. The case presented here mimics a solid tumor because of the nodule consistency. Because of a healthy palatal mucosa without any erosions or irritations with firm attachment to the submucosal nodule, a possible malignant tumor of small salivary gland origins was suspected in this case. When the tumor diameter is small, an excisional biopsy is required to collect good and representative material for further histopathological evaluation. In most cases, bulky nodules present on the palate are hard on palpation, non-movable, and covered with healthy mucosa. Possible bone infiltrations with mucous membrane ulcerations could manifest a more expansive character of the lesion. In the presented case, an unusual occurrence of a traumatic neuroma without any past traumatic etiology of the palate was first differentiated from the occurrence of adenoid-cystic carcinoma (ACC), pleomorphic adenoma, other benign/malignant small gland tumors, or atypical, fibroma/schwannoma of the palate. This paper presents treatment options for this rare oral neural tumor occurrence in the palate and differential diagnosis between hard palate tumors in a 42-year-old male patient, furthermore highlighting the role of an excisional biopsy as a good source for a tissue sample.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Biomedicines Año: 2024 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Biomedicines Año: 2024 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Suiza