Hard palate mass differential diagnosis

Differential Diagnosis of Oral Masses Palatal Lesions. Palatal Masses • Periapical Abscess • Torus Palatinus • Mucocele • Lymphoid Hyperplasia • Squamous Cell CA is rare in palate - Soft Palate>Hard Palate • Verrucous Carcinoma - Palate, alveolar ridge - White or pink, verrucous or papillar The differential diagnosis for a mass in this location includes an adenoid cystic carcinoma, a rare tumor that can start in a minor salivary gland over the hard palate. Note, however, that this tumor will not occur at the midline. If a suspected torus is not midline, a biopsy will be needed to rule out this potentially fatal carcinoma

Differential DiagnosisPalatal masses are not uncommonly encountered in clinical practice and possible diagnoses, considering the posterior hard palate location in the present case, could include 1) an odontogenic or periodontal infection, 2) benign or malignant neoplasm from the salivary gland, or 3) soft tissue tumor.1 (A, B) A 42-year-old man with a low-grade mucoepidermoid carcinoma displays an incomplete capsule in the right hard palate (arrow). (C) Contrast-enhanced T 1-weighted imaging reveals a homogeneously enhancing mass, which might present difficulty in accurately differentiating this lesion from benign palatal tumors Palatal torus and odontogenic infection were easily ruled out of the differential diagnosis by reviewing the clinical and radiographic manifestations. This lesion appeared as an ulcerated, fast-growing mass in the area where salivary gland tumors are usually located

  1. Differential Diagnosis of Oral Pigmented Lesions Evaluation of a patient presenting with a pigmented the hard palate is involved.2,12,13 Laboratory studies have shown that these drugs may produce a direct stimulatory effect on the melanocytes.14 However, the reason why thi
  2. Differential Diagnosis - The 3 P's ulcerated mass •Easily bleeds •Any mucosal surface, with most involving •Reactive process of the palate underneath a maxillary denture •Variable involvement of the hard palate •Asymptomatic, erythematous lesion with a pebbl
  3. ation, and testing; interpreting the data that is obtained; then, formulating a differential diagnosis7. Having an appropriate differential diagnosis will help to guide proper referral and treatment. This article will give a framework to create a.
  5. Both benign and malignant conditions may present as a palatal mass. Fortunately, the majority of these are benign and, due to the location, are recognized and subsequently managed early. Several benign conditions that affect the osseous hard palate may present as a palatal mass. These include both the nasopalatine duct cyst and torus palatinus
  6. Hard Palate Masses: Differential Diagnosis with CT and MR Sun Ho Kim, Moon Hee Han, Kee Hyun Chang, In Kyu Yu, Dong Kyung Lee, Kyung Mo Yeon and Man Chung Han Department of Radiology, Seoul National University College of Medicine, Korea
  7. of hard palate and soft palate on left side, projecting into the oral cavity and causing scalloping and thinning of adjacent hard palate. (Figure 3) On the basis of clinical and radiographic findings, benign salivary gland tumor was considered as the provisional diagnosis. Fine needle aspiratio

Narrowing the differential diagnosis for a congenital oral mass according to anatomic location in the oral cavity. A mass arising from the midline palate (a) raises suspicion for epignathus. Prenatally diagnosed lesions arising from the soft tissues of the maxilla or mandible (b) are highly suggestive of epulis Palatal masses can at times be difficult for a surgeon to diagnose. A mass of the palate can result from developmental, inflammatory, reactive or a neoplastic process. In differential diagnosis, mass of odontogenic/nerve origin (cyst or tumor) must be considered because they are equally common Epithelial tumors frequently arise from the soft palate. The majority of benign epithelial tumors of the palate are papillomas, while most malignant epithelial tumors are squamous cell carcinomas. Various types of mesenchymal tumors, including fibromas, lipomas, schwannomas, neurofibromas, hemangiomas, and lymphangiomas, also involve the palate

Mass on hard palate MDedge Family Medicin

The differential diagnosis of the palatal mass includes the palatal abscess, benign and malignant salivary gland neoplasms, the benign neural tumors, and the traumatic or irritation fibroma. The lesions have many characteristics in common and may appear clinically indistinguishable. Emphasis is placed on the importance of obtaining a thorough. Hence, osteolipoma should be included as one of the important differentials among the hard palate lesions. Preoperatively, a combination of detailed clinical history, physical examination, cytological, and radiological assessment aid in its diagnosis, but it is the histopathology which is confirmative

In the pediatric patient, the differential diagnosis of a mass on the hard palate includes inflammatory, congenital, and neoplastic conditions, in descending frequency . Specific diagnoses include odontogenic infections, mucoceles, nasopalatine duct cyst, and minor salivary gland tumors . A lesion in this area is typically initially. Problem-driven protocols for CT and MRI are presented in Appendixes A and B. In general, MRI is more definitive than CT in the evaluation of deep space masses in the suprahyoid neck, and the images are usually of excellent quality especially above the hard palate. Investigation of inflammatory pathology is usually initiated with contrast. Houston GD, Brown FH. Differential diagnosis of the palatal mass. Compendium. 1993;14:1222-1224. Jainkittivong A, Aneksuk V, Langlais R. Oral mucosal lesions in denture wearers. Gerontology 2010 March 27(1):26-32. Odell EW. Clinical Problem solving in dentistry. 2nd ed. Elsevier Science; 2004. pp. 223-226 1. Pleomorphic adenoma of minor salivary gland arising from hard palate. The other rare differential diagnosis includes malignant minor salivary gland tumor, neurogenic tumors. 2. Preoperatively, the FNAC has a diagnostic role in such lesions. The mass lesion arising from the hard palate can be a malignant lesion requiring a radical approach. 3 Clinical diagnosis of them is difficult so that histopathological diagnosis is needed. This submucosal lesion should be distinguished from other pathologies of oral cavity. It should be kept in mind that a slow-growing, well circumscribed, painless, nontender mass of hard palate can be a Schwannoma

Differential diagnosis of the palatal mass Read by QxM

the right hard palate without calcification and bony erosion. There was scalloping of bone of hard palate due to pressure effect (Figure 2). With all this finding provisional diagnosis of pleomorphic adenoma of hard palate was made and planned for surgical excision. Surgical excision of the mass was done i However, in some cases where palatal lesions are suspected, a differential diagnosis is important. The differential diagnosis of a Torus Palatinus is performed to check the malignancy of the hard palate of the patient. This differential diagnosis is performed by taking a biopsy of the tissue from the palate of the patient's mouth Torus palatinus is a harmless, painless bony growth located on the roof of the mouth (the hard palate). The mass appears in the middle of the hard palate and can vary in size and shape. About 20. Differential Diagnosis. In this section, an attempt has been made to discuss some of the represented as a papillary (or) verruciform mucosal mass which . accounts for 3-45% of all biopsied lesions. This exophytic growth gingiva, hard palate, floor of the mouth and tongue Thick white plaque resembling a cauliflower MS masses may also present as a motor neuropathy of V3 with denervation atrophy of the MS muscle. BS masses typically present as palpable or visible cheek masses. Realization that the differential diagnosis: and the images are usually of excellent quality especially above the hard palate. Other

(PDF) Pleomorphic Adenoma of the Hard and Soft Palate: A

Oral papillomas usually occur in dogs <2 years old. Detection of canine oral papillomavirus-DNA in canine oral squamous cell carcinomas suggests that a progression of viral papillomas into carcinomas may occur. 5 Osteomas often present as slow growing masses on the hard palate. Oral tumors in cats are rarely benign Oral cancer differential diagnosis. The table below outlines the different types of tumors/cancers present in the oral cavity and oropharynx and how they can be differentiated from one another. Intraoral mass, which may be ulcerated. Tongue in men Foreign bodies adhered to the hard palate are seen less frequently. It has been hypothesized that increased intraoral pressure from feeding and pacifiers may help increase the seal of the object on the hard palate.[4] This may be why foreign bodies adhered to the hard palate are not swallowed and remain asymptomatic initially

On the hard palate ovoid, a hard painless mass, which had not extended over the middle palatal line, was observed. Partial maxillectomy was performed. A review of the literature was performed in order to provide a coherent overview on the differential diagnosis of palatal lesions The hard palate is the anterior horizontal bony part of the palate that forms the roof of the oral cavity and floor of the nasal cavity.Most of the hard palate is formed by the palatine processes of the maxillae, the horizontal plates of the palatine bones complete it posteriorly. On its inferior oral surface it is lined by oral mucosa (containing innumerable palatine glands) and on its.

Slow-Growing Palatal Mass: A Challenging Differential

the histological differential diagnosis is other neural origin lesions, which could be neurofibrom and neuroma, or muscular or fibroblastic origin tumour. [1,13,14] While arriving to the differential diagnosis of benign tumours of the hard palate, includes traumatic neuroma, schwannoma, neurofibroma and mucosal neuroma tion of the hard palate, or dislodgement of the foreign body with subsequent aspiration. 2,4 The diagnosis is often delayed as a foreign body is not high in the differential diagnosis. Five physicians, dentists and oral surgeons had evaluated our patient before the correct diagnosis was entertained. Approximately 25 cases of hard palate foreign.

Differentiation between benign and malignant palatal

Depending on the histological features, appropriate histochemical stains (Ziehl Neelsen, Grocott etc.) can be used to refine the differential diagnosis. Serological testing for PR3-ANCA should be suggested if GPA is in the differential diagnosis. Verruciform Xanthoma. This lesion is most common on the gingiva and the palate Differential Diagnosis of Soft Tissue Masses (Part 2) STUDY. Flashcards. Learn. Write. Spell. Test. PLAY. Match. Gravity. Created by. marco_bongarzone PLUS. Oral Path 2 Final (slides 68-132) Terms in this set (26) Hard and Soft Palate Masses. 1. Palatal Abscess: associated with non-vital maxillary laterals and palatal roots of maxillary molars. When a destructive mass in the nasal septum extends into the orbits, Wegener granulomatosis should be considered in the differential diagnosis. Intracranial involvement also may result, usually in the anterior cranial fossa, owing to the spread of the disease through the cribriform plate ( , 19 ) Foreign bodies of the hard palate are unusual occurrence however they should be considered in differential diagnosis of palatal masses in the infant population, in fact they are more common then pathological alteration of oral mucosa in childhood On the other hand, a dome-shaped or nodular lesion on the posterolateral portion of the hard palate with a soft to firm consistency and slow growth rate would prompt the clinician to consider a benign salivary neoplasm such as pleomorphic adenoma in higher rankings of differential diagnosis

A bump on roof of mouth or palate can either be cancerous or non-cancerous. Palatal tori are the most common bony growth on the roof of mouth occurring in close to 30 percent of the population. Lumps on mouth can be hard and small depending on what the underlying cause is. This article provides you Diagnosing lesions of the oral mucosa is necessary for the proper management of patients. Clinical differential diagnosis is the cognitive process of applying logic and knowledge, in a series of step-by-step decisions, to create a list of possible diagnoses. Differential diagnosis should be approached on the basis of exclusion

Collision tumor of the palate: A rare case report Tippu SR

Pathology: Palatal Lesions Volume 3, Issue 8 Inside

usually in hard palate of young patients3,5-7. In addition, graphite tattoos, as well as any pigmented lesion in the oral mucosa, require an extensive differential diagnosis to rule out a possible malignant condition. CASE REPORT A 27 year-old healthy white female patient was referred for evaluation of a focal pigmented lesion in hard palate The mass extends into the nasal cavity and the right maxillary sinus. Discussion/Differential Diagnosis: A soft tissue mass involving the hard palate has a broad differential diagnosis, including primary squamous cell carcinoma, metastasis, minor salivary gland tumor, or a primary bone lesion such as fibrous dysplasia Differential Diagnosis The clinical differential diagnosis for this swelling of the hard palate included salivary gland tumors (pleomorphic adenoma, mucoepidermoid carcinoma and polymorphous low grade adenocarcinoma) as well as neurofibroma and Non-Hodgkin lymphoma. Pleomorphic adenoma. Pleomorphic adenoma, also called benign mixed tumor Differential diagnosis of lesions of the palate includes salivary gland tumors and mesenchymal tumors. Pleomorphic adenoma (PA) is the most common tumor among the benign minor salivary glands. Usually, it appears as a painless, firm, and slow-growing mass with a smooth surface, often lobulated on the posterior lateral of the palate

Oral Soft-Tissue Biopsy: An Overview | jcda

Lumps and Bumps - Oral Health Grou

cavity and palate. The smooth surface of the mass could make the differential diagnosis of the tumor form minor salivary gland tumors or soft tissue sarcomas difficult. The rapid growth of lymphoma, compared to salivary gland tu-mors, is helpful in primary diagnosis; however, biopsy is necessary to confirm the diagnosis About 68% of OFMs occur in the gingiva and 14% in the palate. We present the case of a 41-year-old woman presenting a progressively growing mass on the palate, since the last 8 months. The diagnostic workup led to the diagnosis of an unusual OFM with the clinical presentation involving the gingiva and hard palate Multiple aspirations and different stainings could enhance the differential diagnosis. LPA should be on the mental list of the (cyto)pathologist in differential diagnosis of lipomatous masses in the hard-palate with distinctive cytomorphologic features of intimately related lipomatous and pleomorphic adenomatous cellular elements

Neck Masses | Radiology KeyThere was no ewidence of the lesion in the panaromicNASAL POLYPS

Differential diagnosis: The history of acute onset, the clinical appearance of the lesion and the habit of smoking are diagnostic for this condition of the palate. A differential diagnosis may include palatal petechiae and inflammatory papillary hyperplasia Clinically, it appears as an irregular, usually flat, area with a bright or deep red color. The lips, tongue, and buccal mucosa are the most common areas affected. The diagnosis is based on the history and the clinical features. Differential diagnosis: Hematomas due to anticoagulants, thrombocytopenia, thrombasthenia In the hard palate, benign masses can show features which are generally thought to be those of malignant tumors, whereas malignant tumors can be free of such features; in differential diagnosis, caution is therefore required