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A 67-year-old Hispanic woman is seen for routine physical examination. Has mild hypertension but no other known medical problems. Feels well. No weight loss. No reported difficulty with eating, speaking, or swallowing. Denies any discomfiture in the mouth. States that nothing has changed in her mouth “ever since I lost my baby teeth.” Does not smoke cigarettes nor drink alcohol.
Woman who appears stated age. Vital signs and general examination, normal. Facial skin shows some telangiectases and lips have some wrinkling, suggesting solar damage. Nares unremarkable. Dorsum of tongue, normal. Anterior palate as shown.
WHAT'S YOUR DIAGNOSIS?
1. Jainkittivong A, Apinhasmit W, Swasdison S. Prevalence and clinical characteristics
of oral tori in 1,520 Chulalongkorn University Dental School patients. Surg Radiol Anat. 2007;29:125-131.
2. Seah YH. Torus palatinus and torus mandibularis: a review of the literature. Aust Dent J. 1995;40:318-321.
3. Lumerman H, Freedman P, Kerpel S. The oral soft tissue examination in the
detection of oral cancer and other soft tissue lesions. N Y J Dent. 1982;52:261-263.
4. Mashberg A, Feldman LJ. Clinical criteria for identifying early oral and
oropharyngeal carcinoma: erythroplasia revisited. Am J Surg. 1988;156:273-275.
5. Mashberg A, Samit A. Early detection, diagnosis, and management of oral
and oropharyngeal cancer. CA Cancer J Clin. 1989;39:67-88.
6. Jainkittivong A, Aneksuk V, Langlais RP. Oral mucosal conditions in elderly
dental patients. Oral Dis. 2002;8:218-223.
7. Scully C, Porter S. ABC of oral health. Swellings and red, white, and pigmented
lesions. BMJ. 2000;321:225-228.
8. Miglani DC. Squamous-cell carcinoma arising in mucosa overlying torus
palatinus; report of a case. Oral Surg Oral Med Oral Pathol. 1959;12:289-293.
9. MacInnis EL, Hardie J, Baig M, al-Sanea RA. Gigantiform torus palatinus:
review of the literature and report of a case. Int Dent J. 1998;48:40-43.
10. Tran KT, Shannon M. Images in clinical medicine. Torus palatinus. N Engl J
11. Al Quran FA, Al-Dwairi ZN. Torus palatinus and torus mandibularis in edentulous
patients. J Contemp Dent Pract. 2006;7:112-119.
12. Schneiderman H, Goldblatt R. Osteonecrosis of the jaw from high-dose bisphosphonate
therapy. Consultant. 2007;47:413-423.
13. Goldman ML, Denduluri N, Berman AW, et al. A novel case of bisphosphonate-
related osteonecrosis of the torus palatinus in a patient with metastatic
breast cancer. Oncology. 2006;71:306-308.
14. Belsky JL, Hamer JS, Hubert JE, et al. Torus palatinus: a new anatomical
correlation with bone density in postmenopausal women. J Clin Endocrinol
15. Schneiderman H, Bellantonio S. Kyphosis due to osteoporotic compression
fractures of thoracic vertebrae. Consultant. 1996;36:507-509.
16. Gorsky M, Bukai A, Shohat M. Genetic influence on the prevalence of torus
palatinus. Am J Med Genet. 1998;75:138-140.
17. Schneiderman H. Torus palatinus, related lesions, and their differential
diagnosis. Consultant. 1990;30(11):47-48.