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
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Mr. Larmie is a student, Columbia University College of Dental Medicine, New York, NY.
Dr. Vasilyeva is a resident, Division of Oral and Maxillofacial Pathology, Columbia University Medical Center, New York, NY.
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.
Published online: September 03, 2021
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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.
© 2021 American Dental Association. All rights reserved.
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