Review Article
Peripheral Exophytic Oral Lesions: A Clinical Decision Tree
Table 2
General characteristics of smooth-surfaced oral exophytic lesions of salivary origin.
| Entity | Age | Gender | Site of involvement | Surface texture | Type of base | Consistency | Color | Size | Symptom & sign | Treatment | Recurrence |
| Mucocele & ranula | First 3 decades of life | No sex predilection | Lower lip/floor of the mouth | Smooth | Nodular/dome shaped | Fluctuant to firm | Bluish to pink | <1.5 cm | Asymptomatic | Marsupialization | 25% | Pleomorphic adenoma | 5-6th decades | Female | Palate | Smooth | Nodular/dome shaped | Firm | Normal colored | 1–5 cm | Asymptomatic | Surgical excision | 2–44% | Mucoepidermoid carcinoma | 3–6th decades | Female | Palate | Smooth | Nodular/dome shaped | Firm | Pink/bluish to red or normal colored | Up to several cm | Asymptomatic/Painful in high Grades | Wide surgical excision | Up to 60% | Adenoid cystic carcinoma | 5-6th decades | Female | Palate | Smooth/ulcerative | Nodular | Firm | Pink/normal colored | Up to several cm | Pain is common/bone destruction/distant metastasis | Local radical excision + radiotherapy/ chemotherapy | — |
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