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Imaging Sci Dent. 2011 Mar;41(1):35-38. English. Case Report.
Krishna S , BK R .
Department of Oral Medicine and Radiology, V.S Dental College and Hospital, Karnataka, India.
Department of Oral Medicine, Diagnosis and Radiology, Dayanada Sagar College of Dental Sciences and Hospital, Karnataka, India.

Necrotizing sialometaplasia (NS) which mimics malignancy both clinically and histopathologically is an uncommon benign, self-limiting inflammatory disease of the mucus-secreting minor salivary glands. The lesion is believed to be the result of vascular ischemia that may be initiated by trauma. Till date, the diagnosis of NS remains a challenge. This report demonstrates a case of NS in a 73-year-old male patient who presented with an ulcerative lesion in his palate. He had a history of local trauma and was long-term user of salbutamol inhaler. An incisional biopsy was carried out and the diagnosis was established through history, clinical examination, histopathology using Hematoxylin and Eosin stain. The patient was given symptomatic treatment and the lesion healed in about 7 weeks.

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