DTUS0610

Welcome to a new topic area among the pages of Dental Tribune! The thanks for this new topic area go to a number of oral pathologists who seek to expand their role in the dental community by writing for Dental Tribune. These authors will provide us with selected case studies to help educate our readers about the vari- ous oral pathology situations they might encounter in daily practice. We hope you enjoy this new topic area and wel- come your feedback at feedback@dental-tribune.com. In addition, if you would like to submit a pathol- ogy case for publication, please contact r.goodman@ dental-tribune.com DT Identify the swellings DENTAL TRIBUNE | March 2010 Oral Pathology 11A AD Diagnose this … A 58-year-old male com- plains of multiple lobulat- ed reddish to bluish swell- ings over the tongue and lower lip for the last two years. No associated pain or paresthesia, no history of discharge and no his- tory of trauma except for the discomfort caused by lobulated masses. The patient has an unremark- able medical history; no known allergies; and is not taking any medications. Extra-oral examination Lobulated masses of deep reddish to bluish lesions seen over lower lip. Intra-oral examination Lobulated masses of deep reddish to bluish lesions seen over lower lip and tongue region. The lesions are soft in consistency and have a smooth surface. Questions 1) The clinical differential diagnosis may include: a) Hemangioma b) HIV-related lesion c) Lymphanangioma d) Drug allergy e) Multiple mucosal neuromas 2) Which of the follow- ing diagnostic tests may be useful (circle all that apply)? a) Pressure test b) Serology c) Biopsy By Drs. Anil Ghom and Anuja Holani, India Turn to page 12A for the answers Do you have an interesting oral pathology case you’d like to share with Dental Tribune readers? If so, please contact Group Editor Robin Goodman at r.goodman@dental-tribune. com.