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.
- Neurolemmoma (Schwannoma)
- Pleomorphic Adenoma
- Malignant Minor Salivary Gland Tumor
- Benign Tumor of Periodontal Ligament Origin
- Clinical Photographs and Models
- Aspiration of Lesion
- Incisional Biopsy to Establish Diagnosis
- Fabrication of Palatal Splint
- 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
Last Modified: April 30, 1998