pathology service for evaluation of a pigmented lesion involving the palate. The lesion
was found incidentally by the patient’s dental care provider. The patient’s medical
history was significant for chronic myeloid leukemia, which was diagnosed in 2015.
At the time of the consultation, the patient was considered to be in remission. The
only reported medication being taken by the patient was imatinib (Gleevec, Novartis).
There were no significant findings on extraoral examination. Intraoral examination
revealed a diffuse, well-demarcated, flat, blue-gray pigmentation in the midline of
the hard palate extending from the incisive papilla to the junction of the hard and
soft palates (
Figure).
Figure
Intraoral photograph showing a diffuse, well-demarcated, flat, blue-gray pigmentation
in the midline of the hard palate extending from the incisive papilla to the junction
of the hard and soft palates.
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Biography
Mr. Stanbouly is a second year dental student, Columbia University College of Dental Medicine, New York, NY.
Biography
Dr. Shackelford is a resident, Division of Oral and Maxillofacial Pathology, Columbia University College of Dental Medicine, New York, NY.
Biography
Dr. Peters is an assistant professor, Division of Oral and Maxillofacial Pathology, Columbia University College of Dental Medicine, 630 W 168th St PH1562W, New York, NY 10032.
Article Info
Publication History
Published online: January 15, 2021
Publication stage
In Press Corrected Proof
Footnotes
Disclosures. None of the authors reported any disclosures.
Diagnostic Challenge is published in collaboration with the American Academy of Oral and Maxillofacial Pathology and the American Academy of Oral Medicine.
Identification
DOI: https://doi.org/10.1016/j.adaj.2020.10.004
Copyright
© 2020 American Dental Association. All rights reserved.
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