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Clinicopathologic Conference
A mass on the hard palate of an HIV-positive patient: clinical presentation
A 22-year-old male patient sought an oral medicine consultation for asymptomatic swelling of unknown duration on the hard palate. Intraoral examination revealed a multilobulated, sessile mass, measuring approximately 2.0 cm in diameter and of variegated color with discrete red, brown, and black foci on the hard palate (Figure 1). The lesion's surface was irregular and had some areas of ulceration and bleeding during manipulation. No other similar findings were observed in the oral cavity. The patient reported no other signs or symptoms and no previous history of trauma in the region.A submucosal nodule on the upper lip
A 43-year-old man was referred to the oral medicine clinic of our university to evaluate an asymptomatic nodule of unknown duration on the upper lip. There was no history of trauma, alcoholism, or smoking habits, and his medical history was noncontributory. Extraoral examination revealed no signs of asymmetry or lymphadenopathy or any skin color changes. An intraoral examination revealed a 1.0 cm solitary, submucosal, slightly mobile nodule on the labial mucosa of the upper lip consisting of a mass with a soft consistency on palpation, covered by intact and normal-colored mucosa (Figure 1).A dome-shaped nodule on unattached alveolar mucosa
A 43-year-old man presented with a well-defined swelling in the posterior alveolar mucosa of 2 months’ duration. The past medical history and physical examination were unremarkable. The patient denied any history of systemic symptoms, and his family history was noncontributory for any malignancy. Intraoral examination revealed a 15-mm submucosal nodule involving unattached buccal alveolar mucosa, extending to the mucogingival junction between the left mandibular canine and the first bicuspid. Clinically, the lesion presented as an asymptomatic, well-circumscribed, normal-colored nodule covered by a smooth surface displaying superficial capillaries (Figure 1).A nodule in the palatal mucosa
A 67-year-old male patient was referred to our service with a complaint of an asymptomatic nodule in the hard palate; the nodule had evolved over 12 months and displayed slow growth. The patient did not report any alcoholism or smoking, and his past medical history was noncontributory. Upon general examination, the patient appeared well oriented, and there were no signs of any systemic illnesses or lymphadenopathy. The intraoral examination revealed a dome-shaped nodule with a smooth surface, exhibiting normal-colored overlying mucosa.A mixed image in the maxillary sinus
A 19-year-old male patient complaining of a diffuse swelling of 4 months' duration on the right side of his face was referred to our department. No palpable cervical lymph node was found, and patient's past medical history was noncontributory. Intraoral examination did not reveal any significant visual alteration in the right maxillary mucosa; however, a slight swelling in the maxilla, extending from the first to the third molars, could be noted during local palpation, demonstrating a hard consistency suggestive of bone cortical expansion (Figure 1A).
