Abstract

Patient J.J.G., a 59-year-old man, was referred for evaluation of an oral lesion with more than 20 years of evolution. The patient was related by previous diagnosis of neurofibromatosis. The physical examination was performed by multiple consecutive head and neck segments, showing the hands, arms, and the iris of the left eye with gray opacity, suggesting optic glioma. Intraoral examination revealed pedunculated tumor, softened in consistency with mucosa-like color on the left hard palate, besides minor lesions affecting the tongue and a diffuse lesion on the right hard palate. Aspiration puncture of the lesion was performed on the right palate, which revealed bloody content, and an excision by diode laser of the left palate tumor was performed. Histopathologic analysis revealed a characteristic neurofibroma showing delicate spindle cells and wavy nuclei interspersed with irregular neuritis and interlaced collagen fibers. The patient was referred for dental treatment at Hospital das Clinicas and currently is under follow-up.

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