Atypical Presentation of Necrotizing Sialometaplasia of the Hard Palate: A Diagnostic Dilemma.

Autor: Abdullah MF; Oral and Maxillofacial Surgery, Hospital Universiti Sains Malaysia, Kota Bharu, MYS.; Oral and Maxillofacial Surgery, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kota Bharu, MYS., Hamzah MAR; Oral and Maxillofacial Surgery, Hospital Universiti Sains Malaysia, Kota Bharu, MYS.; Oral and Maxillofacial Surgery, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kota Bharu, MYS., Fauzi FA; Oral and Maxillofacial Surgery, Hospital Universiti Sains Malaysia, Kota Bharu, MYS.; Oral and Maxillofacial Surgery, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kota Bharu, MYS., Mat Zin AA; Pathology, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, MYS., Yusoff BM; Radiology, Hospital Universiti Sains Malaysia, Kota Bharu, MYS.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2023 Aug 01; Vol. 15 (8), pp. e42825. Date of Electronic Publication: 2023 Aug 01 (Print Publication: 2023).
DOI: 10.7759/cureus.42825
Abstrakt: Necrotizing sialometaplasia refers to a benign, uncommon, and self-limiting inflammatory reaction concerning the salivary gland tissue, which both clinically and histologically may be easily mistaken for mucoepidermoid carcinoma or squamous cell carcinoma. This may cause irrelevant surgical intervention. Minor salivary glands are the most commonly affected salivary gland, with the hard palate being the most usual site. However, it can involve the other areas in which salivary gland tissue is present in the other oral subsites and pharyngeal areas. Due to the lack of knowledge about this entity and its histological similarities with carcinomas, particularly mucoepidermoid carcinoma, the differential diagnosis of this lesion is difficult. Local ischemia is thought to be the primary cause, leading to the pathogenesis of necrotizing sialometaplasia, and the infiltration of local anesthesia following dental procedures at the palatal region is the leading cause.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Abdullah et al.)
Databáze: MEDLINE