Case #42:

Case profile:

Patient: Adult woman.

Case record:

Chief Complaint: The patient requests treatment of a soft tissue enlargement on the right posterior hard palate. The patient states that the lesion is of one and a half years duration, progressively increasing in size, nonpainful and doesn't bleed. The patient states that when she eats, the lesion is irritated by her denture.   Medical History: No abnormalities are identified.   Dental History: The patient reports many dental problems in the past leading to extraction of teeth. Her last dental treatment was three years ago. The patient has a maxillary denture which she wears 24 hours a day. Her current denture is three years old. She has worn dentures for nine years. Her denture does not fit properly because of the soft tissue enlargement.   Clinical Findings: The lesion is a well-circumscribed, exophytic, 1 x 1 cm soft tissue enlargement on the right posterior hard palate. The lesion is firm, nontender, and fixed to the surface mucosa and underlying structures. The surface is smooth to palpation, erythematous, and does not blanch. A panoramic radiograph reveals no evidence of underlying bony abnormality. Lymphadenopathy is not present.

Images:

Enlargement on Right Posterior Hard Palate LG