Unique benign soft tissue tumor suspected pyogenic granuloma in a young female hard palate: a case report
Abstract
Objectives: This case aims to report the finding of a unique lesion in the maxilla in a young female patient.Case Report: The patient, a 21-year-old female, presented with a painless swelling on the left palate for the past 3 months, causing discomfort during eating. On intra-oral examination, there was visible swelling in the left hard palate area, extending from teeth 23 to 26 and extending to the middle of the palate. The patient was referred for a CBCT examination. The aim of writing this article is to assess the findings of a unique case of benign tumor of the palate. The results of the CBCT examination showed radiolucent lesions in the palatal mucosal area without bone resorption. The density of the lesion was higher than that of the surrounding mucosa. The lesion does not damage the tissue of the surrounding area. This is unique because swelling of this size is usually accompanied by extensive bone resorption. Based on its nature, this lesion was diagnosed as a benign soft tissue tumor with differential diagnoses of pyogenic granuloma, pleomorphic adenoma, leiomyoma, and desmoplastic fibroma.
Conclusion: The lesion found was a soft tissue tumor lesion at the time; it was found to have a non-aggressive and non-expansive nature, making it difficult to determine a specific radiodiagnosis. The differential diagnosis of this case has been established as follows: Pleomorphic adenoma, pyogenic granuloma and leiomyoma, and pyogenic granuloma, were the options for establishing a provisional radiodiagnosis.
References
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Havle AD, Shedge SA, Dalvi RG. Lobular Capillary Hemangioma of the Palate -A Case Report. Iran J Otorhinolaryngol. 2019;31(107):399-402.
Sharma Y, Maria A, Chhabria A. Pleomorphic adenoma of the palate. Natl J Maxillofac Surg. 2011;2(2):169-71.
Mahabob N, Kumar S, Raja S. Palatal pyogenic granulomaa. J Pharm Bioall Sci. 2013;5:S179-81.
Kato H, Kanematsu M, Makita H, Kato K, Hatakeyama D, Shibata T, Mizuta K, et al. CT and MR imaging findings of palatal tumors. European Journal of Radiology. 2014;8:137-46.
Li Q, Zhang XR, Liu XK, et al. Long-term treatment outcome of minor salivary gland carcinoma of the hard palate. Oral Oncol. 2012;48(5):456-62.
Yorozu A, Sykes AJ, Slevin NJ. Carcinoma of the hard palate treated with radiotherapy: a retrospective review of 31 cases. Oral Oncol. 2001;37(6):493-7.
Sharma Y, Maria A, Chhabria A. Pleomorphic adenoma of the palate. Natl J Maxillofac Surg. 2011;2:169-171.
Min HJ, Kim KS. Pyogenic Granuloma of the Hard Palate. J Craniofac Surg. 2020 Sep;31(6):e612-e614.
Parajuli R, Maharjan S. Unusual presentation of oral pyogenic granulomas: a review of two cases. Clin Case Rep. 2018;6:690-3.
Woods TR, Cohen DM, Islam MN, Rawal Y, Bhattacharyya I. Desmoplastic fibroma of the mandible: a series of three cases and review of literature. Head and Neck Pathol. 2015;9(2):196-204.
González Sánchez MA, Colorado Bonnin M, Berini Aytés L, Gay Escoda C. Leiomyoma of the hard palate: A case report. Med Oral Patol Oral Cir Bucal. 2007;12:221-4.
Chaturvedi M, Jaidev A, Thaddanee R, Khilnani AK. Large pleomorphic adenoma of hard palate. Ann Maxillofac Surg. 2018; 8:124-6.
Debnath SC, Adhyapok AK. Pleomorphic adenoma (benign mixed tumour) of the minor salivary glands of the upper lip. J Maxillofac Oral Surg. 2010;9:205-8.
Erdem MA, Cankaya AB, Güven G, Olgaç V, Kasapoğlu C. Pleomorphic adenoma of the palate. J Craniofac Surg. 2011; 22:1131-4.
Hospital Medical Record. 2023.
Yuan Y, TangW, Jiang M, Tao X. Palatal lesions: discriminative value of conventional MRI and diffusion weighted imaging. Br J Radiol .2016;89:20150911.
Kato H, Kanematsu M, Makita H, Kato K, Hatakeyama D, Shibata T, et al. CT and MR imaging findings of palatal tumors. Eur J. Radiol. 2014;83:e137-146.
Dunfee BL, Sakai O, Pistey R, Gohel A. Radiologic and Pathologic Characteristics of Benign and Malignant Lesions of the Mandible. RadioGraphics. 2006; 26:1751–68.
Neyaz Z, Gadodia A, Gamanagatti S, Mukhopadhyay S. Radiographical approach to jaw lesions. Singapore Med J. 2008;49(2):65.
Miller TT. Bone Tumors and Tumorlike Conditions: Analysis with Conventional Radiography. Radiology Journal. 2008;246(3):662-74.
Havle AD, Shedge SA, Dalvi RG. Lobular Capillary Hemangioma of the Palate -A Case Report. Iran J Otorhinolaryngol. 2019;31(107):399-402.
Sharma Y, Maria A, Chhabria A. Pleomorphic adenoma of the palate. Natl J Maxillofac Surg. 2011;2(2):169-71.
Mahabob N, Kumar S, Raja S. Palatal pyogenic granulomaa. J Pharm Bioall Sci. 2013;5:S179-81.
Published
2023-12-31
How to Cite
EPSILAWATI, Lusi et al.
Unique benign soft tissue tumor suspected pyogenic granuloma in a young female hard palate: a case report.
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 7, n. 3, p. 127-131, dec. 2023.
ISSN 2686-1321.
Available at: <http://jurnal.pdgi.or.id/index.php/jrdi/article/view/1074>. Date accessed: 27 apr. 2024.
doi: https://doi.org/10.32793/jrdi.v7i3.1074.
Section
Case Report
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
