Abstract
A 71-year-old male patient reported an increase in volume in the face for 1 year. The patient's medical history was irrelevant. The patient began smoking (20 units/day) at the age of 15. Extraoral physical examination showed a nodular lesion hard to palpation, fixed, and painless, close to the upper lip. In the oral cavity, the lesion caused bulging of the mucosa without alteration of color or signs of bleeding. Incisional biopsy was performed, and histologic sections stained in hematoxylin and eosin revealed dilated cystic structures below the surface mucosa, limited by the layer of epithelial cells with papillary projections into the lumen, leading to the diagnosis of intraductal papilloma in the salivary gland. The patient is waiting for a computed tomography scan of the face, in addition to preoperative exams necessary to perform surgery to completely remove the lesion.
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