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Paciente varón de 58 años que acudió por presentar desde hacía tres meses una tumoración en paladar que progresivamente iba creciendo. La lesión era dolorosa y no sangraba. El examen intraoral una masa de unos 3cm de diámetro, no pediculada, mal definida y localizada en paladar duro (figura 1). No existían problemas dentales en relación con dicha masa. La tumoración era blanda y ligeramente depresible con un color azul-violáceo, con una pequeña úlcera en su superficie. El paciente era VIH negativo, sus análisis hematológicos básicos eran normales. A nivel sistémico no tenía alteraciones. La ortopantomografía no reveló alteraciones dentales ni óseas maxilares. Se solicitó una RMN (figura 2) y se tomó una biopsia de la lesión (figuras 3 y 4). | A 58 year old man presented with a three months history of a progressive palatal growth. The lesion was painful and did not bleed. The intraoral exam revealed a ca. 3 cm in diameter, non pedunculated, ill defined mass located in the hard palate (figure 1). No possible dental etiology was identyfied clinically. This soft and slightly depressible mas was blue-violet in color and had a small ulcer on its surface. The patient was HIV negative, his blood analysis and hemogram were within normal limits. Systemic examination was unremarkable. Panoramic radiograph did not reveal any dental and/or bony abnormalities. An MRI (figure 2) was ordered and a biopsy of the lesion was performed (figures 3 and 4). |
| 1.- Which tests or laboratory studies would you order?
2.- Which is your differential diagnosis?
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1.- Carcinoma adenoide quístico 2.- Adenocarcinoma de glándulas salivales 3.- Carcinoma mucoepidermoide 4.- Metastasis 5.- Sarcoma de Kaposi 6.- Fibrosarcoma | 1.- Adenoid cystic carcinoma 2.- Adenocarcinoma (salivary glands) 3.- Mucoepidermoid carcinoma. 4.- Metastasis 5.- Kaposi´s sarcoma 6.- Fibrosarcoma |
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