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Tumor in Palate: Report of Case
TUMOR IN PALATE: REPORT OF CASE By E. WILLIAMS, D .D .S., and J. E. WILLIAMS, B.S., D .D .S., Lafayette, Ind.
MAN, aged 54, white, a grain dealer, in good health, i e., the physical find ings were negative, came in July 24, 1932, for roentgenographic examination. In the maxillary areas, there were eight nat ural teeth, six of which served as abutments for three bridges. The right first molar and lateral incisor were pulpless; the right second bicuspid showed root-end rarefac tion, and the other teeth were carious, the upper second molar, left, as an abutment tooth, being separated from its coronal and radial parts. All the remaining upper teeth were ex tracted, July 24, under nitrous oxide-oxygen anesthesia. At this time, swelling was observed in the hard palate on the right side. A stab was made in this area, but no pus or fluid appeared. An anterior alveolectomy was performed, and an impres sion was taken for a denture. In two days, the denture was inserted. The swelling had increased in the palatal area and the den ture did not seat itself. Another impression was made and an other denture was placed in the mouth. This was worn successfully until May 16, 1934. At this time, the palatal growth was removed under procaine anesthesia, through an incision extending from the median line
A
Jour. A .D .A . & D . Cos., Vol. 24, Feb., 1937
295
posteriorly to the soft palate, and 5 mm. above the crest of the ridge. The bone appeared normal. The growth, which was found imbedded between the periosteum and the mucous membrane, was dissected and sent to the pathologist for examination, the report being as follows: Tissue fibrous with hyalin degeneration and fibroblastic organization; capillary lamination; areas of inflammatory cell infiltration; no puru lent cell change; no hyperplasia of gland nor epithelial structures; surface shows fibrohyalin infarct organization apparently from previous inflammatory reaction; be nign fibrous scar chronic.* Although the etiology and the pathologic findings in T he J o u r n a l 1 differ some what, the macroscopic findings are similar. The tumor that we removed did extend into the soft palate and did affect swallow ing. There has been no recurrence, and the patient is using the denture constructed immediately after operation. Postoperative recovery was very satisfactory, and healing by granulation was complete in about fortyfive days. *F. P. Hunter, M .D . 1.
Rein, C. R., and Feldman, M . H .: Mixed
Tumors of Palate, J .A .D .A ., 23:1310 (July)
1936 .
MAN, aged 54, white, a grain dealer, in good health, i e., the physical find ings were negative, came in July 24, 1932, for roentgenographic examination. In the maxillary areas, there were eight nat ural teeth, six of which served as abutments for three bridges. The right first molar and lateral incisor were pulpless; the right second bicuspid showed root-end rarefac tion, and the other teeth were carious, the upper second molar, left, as an abutment tooth, being separated from its coronal and radial parts. All the remaining upper teeth were ex tracted, July 24, under nitrous oxide-oxygen anesthesia. At this time, swelling was observed in the hard palate on the right side. A stab was made in this area, but no pus or fluid appeared. An anterior alveolectomy was performed, and an impres sion was taken for a denture. In two days, the denture was inserted. The swelling had increased in the palatal area and the den ture did not seat itself. Another impression was made and an other denture was placed in the mouth. This was worn successfully until May 16, 1934. At this time, the palatal growth was removed under procaine anesthesia, through an incision extending from the median line
A
Jour. A .D .A . & D . Cos., Vol. 24, Feb., 1937
295
posteriorly to the soft palate, and 5 mm. above the crest of the ridge. The bone appeared normal. The growth, which was found imbedded between the periosteum and the mucous membrane, was dissected and sent to the pathologist for examination, the report being as follows: Tissue fibrous with hyalin degeneration and fibroblastic organization; capillary lamination; areas of inflammatory cell infiltration; no puru lent cell change; no hyperplasia of gland nor epithelial structures; surface shows fibrohyalin infarct organization apparently from previous inflammatory reaction; be nign fibrous scar chronic.* Although the etiology and the pathologic findings in T he J o u r n a l 1 differ some what, the macroscopic findings are similar. The tumor that we removed did extend into the soft palate and did affect swallow ing. There has been no recurrence, and the patient is using the denture constructed immediately after operation. Postoperative recovery was very satisfactory, and healing by granulation was complete in about fortyfive days. *F. P. Hunter, M .D . 1.
Rein, C. R., and Feldman, M . H .: Mixed
Tumors of Palate, J .A .D .A ., 23:1310 (July)
1936 .