bump on the roof of [her] mouth” that prevented her from wearing her maxillary removable
partial denture. The denture was relined, but the lesion persisted and increased in
size, causing significant pain. The patient was then referred to an oral and maxillofacial
surgeon for evaluation. The patient’s medical history was significant for a heart
murmur and multiple basal cell carcinomas of the skin. The review of systems was otherwise
noncontributory, and results of the extraoral examination were within normal limits.
Intraoral examination revealed a 1.5-cm swelling at the junction of the right hard
and soft palate with a central ulceration (Figure 1). The area was tender and firm to palpation. The remaining oral soft tissues were
unremarkable.
Figure 1Swelling of the right soft palate, with a central ulceration.
To read this article in full you will need to make a payment
References
Primary diffuse large B-cell lymphoma of the oral cavity: germinal center classification.
Head Neck Pathol. 2010; 4: 181-191
Diffused mixed B-cell non-Hodgkin lymphoma of mandible.
J Oral Maxillofac Pathol. 2020; 24: S77-S81
Gender specific mortality in diffuse large B cell lymphoma patients receiving R-CHOP.
J Clin Oncol. 2015; 33 (suppl):e19523
The histological classification of diffuse large B-cell lymphomas.
Semin Hematol. 2015; 52: 57-66
Primary diffuse large B cell lymphoma mimicking hyperplastic reactive lesion (lymphoma of the oral cavity).
Case Rep Pathol. 2018; 2018: 2981689
Hodgkin lymphoma of the nasopharynx: case report with review of the literature.
Head Neck Pathol. 2015; 9: 369-375
Primary diffuse large B-cell lymphoma in the anterior hard palate: a rare case report with review of literature.
J Oral Maxillofac Pathol. 2014; 18: 102-106
Primary diffuse large B-cell lymphoma in the maxilla: a case report.
Medicine (Baltimore). 2018; 97e10707
Novel and emerging therapies for B cell lymphoma.
J Hematol Oncol. 2019; 12: 82
Necrotizing sialometaplasia of the hard palate in a patient treated with topical nonsteroidal anti-inflammatory drug.
Case Rep Dent. 2016; 2016: 9545861
Necrotizing sialometaplasia: case report.
J Dent Sci. 2020; 15: 390-392
Necrotizing sialometaplasia: a diagnostic dilemma!.
J Oral Maxillofac Pathol. 2014; 18: 420-422
Necrotizing sialometaplasia: a self-limiting condition which poses a diagnostic dilemma.
Clin Case Rep. 2021; 9: 2019-2022
Mucoepidermoid carcinoma of palate: a rare entity.
Clin Pract. 2017; 7: 1009
Mucoepidermoid carcinoma.
BMJ Case Rep. 2014; 2014 (bcr-2013-202776)
Mucoepidermoid carcinoma of the parotid gland: the Mayo Clinic experience.
Arch Otolaryngol Head Neck Surg. 2004; 130: 849-856
Mucoepidermoid carcinoma of the base of tongue.
Acta Otorhinolaryngol Ital. 2015; 35: 58-61
Pleomorphic adenoma of the palate.
J Craniofac Surg. 2011; 22: 1131-1134
Pleomorphic adenoma of the palate.
Natl J Maxillofac Surg. 2011; 2: 169-171
Pleomorphic adenoma of hard palate: an experience.
J Maxillofac Oral Surg. 2014; 13: 36-41
A case-control study of risk factors for salivary gland cancer in Canada.
J Cancer Epidemiol. 2017; 2017: 4909214
Palatal abscess in a pediatric patient: report of a case.
Eur J Dent. 2008; 2: 291-293
Odontogenic infections: complications. Systemic manifestations.
Med Oral Patol Oral Cir Bucal. 2004; 9: 139-147
Biography
Mr. Larmie is a student, Columbia University College of Dental Medicine, New York, NY.
Biography
Dr. Vasilyeva is a resident, Division of Oral and Maxillofacial Pathology, Columbia University Medical Center, New York, NY.
Biography
Dr. Peters is an assistant professor, Division of Oral and Maxillofacial Pathology, Columbia University Medical Center, 630 W 168th St, PH15W-1562, New York, NY 10032.
Article Info
Publication History
Published online: September 03, 2021
Publication stage
In Press Corrected Proof
Footnotes
Disclosure. 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.2021.06.013
Copyright
© 2021 American Dental Association. All rights reserved.
ScienceDirect
Access this article on ScienceDirect
