Oral and Maxillofacial Surgery

Case of the Month


May, 1998

Subjective:

The patient was referred to our office for evaluation by her general dentist. The patient had a chief complaint of an asymptomatic knot in the roof of her mouth that had be present for one year.

Objective:

Medical history revealed a well developed 39 y.o white female allergic to PCN. Operations included a C-section and B.T.L. (Bilateral Tubal Ligation). The remainder of her history was noncontributory. Oral examination revealed a 15 mm X 15 mm, smooth surface, firm, sessile elevation located on the palate adjacent to teeth #'s 10, 11, and 13. The surface mucosa was intact. No bruit or thrill was noted. No osseous involvement was noted on the panoramic or occlusal radiographs. Teeth #'s 5, 12, 21, and 28 had been extracted for orthodontic treatment as an adolescent. Mild horizontal alveolar bone loss was noted in the maxilla and mandible.


Differential Diagnosis:

Plan:

  1. Clinical Photographs and Models
  2. Aspiration of Lesion
  3. Incisional Biopsy to Establish Diagnosis
  4. Fabrication of Palatal Splint
  5. Total Excision of Lesion

Assessment:

Gross examination of the surgical specimen revealed a multilobulated tissue mass 2.5 X 2.5 X 1 cm. Sections revealed a fibrous submucosa composed of individual islands and strands of palisaded columnar cells in plexiform and follicular patterns.




Patient treated by:
  • Dr. Steven R. Tucker Oral and Maxillofacial Surgery 


 Steven R. Tucker DMD, PSC
 Oral and Maxillofacial Surgery
 909 Scherm Road
 Owensboro, KY 42301
 phone: 1-502-926-4107
 fax: 1-502-926-4166
 url: http://www.srt-psc.com

steven@occ-uky.campus.mci.net

Last Modified: April 30, 1998

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