Bilateral necrotizing sialometaplasia of the hard palate in a patient with bulimia: a case report and review of the literature.

Janner, Simone; Suter, Valérie; Altermatt, Hans Jörg; Reichart, Peter; Bornstein, Michael M. (2014). Bilateral necrotizing sialometaplasia of the hard palate in a patient with bulimia: a case report and review of the literature. Quintessence international, 45(5), pp. 431-437. Quintessenz Verlags-GmbH 10.3290/j.qi.a31543

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Necrotizing sialometaplasia (NS) is a rare and benign lesion that mostly affects the posterior hard palate. Its importance resides in its clinical and microscopic characteristics, which can closely mimic malignant neoplasias, in particular oral squamous cell carcinoma and mucoepidermoid carcinoma. Accurate histopathologic evaluation of an incisional biopsy is considered as the diagnostic gold standard. NS lesions heal spontaneously within weeks, and no further treatment is necessary. We report a case of a bilateral palatal NS in a 22-yearold woman with bulimia, where an incisional biopsy confirmed the clinical diagnosis. The different clinical stages of the lesions from onset to resolution and the possible etiologic factors are described in detail, as well as a discussion of the differential diagnoses of palatal ulcers. When taking a biopsy from suspicious oral lesions, care has to be taken that an appropriate tissue sample is harvested, and the histopathologic analysis is performed by an experienced pathologist to establish a correct diagnosis.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Oral Surgery and Stomatology

UniBE Contributor:

Janner, Simone; Suter, Valérie; Reichart, Peter and Bornstein, Michael M.

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0033-6572

Publisher:

Quintessenz Verlags-GmbH

Language:

English

Submitter:

Eveline Carmen Schuler

Date Deposited:

27 Jan 2015 17:04

Last Modified:

25 Jan 2017 12:15

Publisher DOI:

10.3290/j.qi.a31543

PubMed ID:

24634907

Uncontrolled Keywords:

opsy, bulimia nervosa, eating disorders, minor salivary glands, necrotizing sialometaplasia, oral ulcers

URI:

https://boris.unibe.ch/id/eprint/61646

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