case of the
COTM APRIL/MAY 2022
Case Credit- Tim Bracey and Amith Pinto (Royal Cornwall Hospital)
A 73 year old female patient presented on a two-week rule referral with a lump in the lower left 1,2 (incisor) region alveolar/gingival mucosa. This lump was completely asymptomatic and was noticed by the patient a few weeks prior. The area was initially aspirated by the dentist however no aspirate was obtained and radiographs were clear ruling out dental pathology. The patient had a history of carotid stenosis and was on Clopidogrel. Examination revealed a firm bosselated lump involving the gum/alveolar mucosa in the lower left incisor region. The clinical impression was that of a minor salivary gland neoplasm.