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Case Reports in Pathology
Volume 2012 (2012), Article ID 679325, 3 pages
http://dx.doi.org/10.1155/2012/679325
Case Report

Necrotizing Sialometaplasia of Palate: A Case Report

1Department of Stomatology, Area of Pathology, Bauru School of Dentistry, University of São Paulo, 17012-901 Bauru, SP, Brazil
2Dentist, Private Practice, Brasília, Federal District, Brazil

Received 18 June 2012; Accepted 30 July 2012

Academic Editors: D. Tsuruta and H. Yaacob

Copyright © 2012 N. G. Garcia et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Necrotizing sialometaplasia (NS) is an uncommon benign reactive necrotizing inflammatory process involving minor salivary gland that often mimics malignancy both clinically and histopathologically. Case Report. We report the case of a healthy 26-year-old man with a painless swelling in the hard palate near the middle raphe, asymptomatic, well limited, and raised edges. The patient was submitted to incisional biopsy and histopathological examination. The histological diagnosis was necrotizing sialometaplasia. Discussion. The clinical and histological similarity between this entity and a malignant lesion implies a risk of unnecessary or mistreatment. Therefore, clinicians and pathologists should be aware of this lesion as to avoid errors in the diagnosis and treatment of this benign pathologic condition.