Abstract

Oral adenomatoid hyperplasia (OAH) is a rare condition of the minor salivary glands characterized by a localized increase that mimics a neoplasm, most commonly occurring in the palate. A 32-year-old female patient, nondrinker, nonsmoker, and without systemic impairment, had an asymptomatic lesion with slow growth on the palate over the past 10 years. Intraoral examination revealed a painless, nodular, smooth, fixed lesion with clear borders located on the hard and soft palate with size of 3.0 × 3.5 × 1.0 cm. Clinical hypothesis diagnoses were pleomorphic adenoma and adenocarcinoma. Incisional biopsy was performed, and the histopathologic examination revealed OAH of palatal minor salivary glands. The patient was referred for total removal of the lesion and is being followed up without recurrence. This case illustrates the need for incisional biopsy to perform a precise diagnosis so that the correct treatment can be established.

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