Oral and Maxillofacial Surgery

Case of the Month

May, 1998


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.


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:


  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


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


Last Modified: April 30, 1998

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