Table 1 Clinical summary of 4 cases of necrotizing sialometaplasia (NSM)
| Â | Case 1a | Case 2 | Case 3 | Case 4 |
|---|---|---|---|---|
Symptoms | Pain, discomfort | Mass sensation | Absent | Fever |
Location | Hard palate | Hard palate | Hard palate | Hard palate |
Predidsposingfactors | Orthodentic denture | Absent | Absent | Surgery (2WA) |
Smoking | Denied | Denied | Denied | Denied |
Radiology | T2 high intensity mass in MRI | 1.7 cm low density mass (CT) | Not done | Sphenoid sinus defect, no mass |
Clinical impression | Malignancy | Odontogenic abscess | Benign lesion | Inflammation |
Operation | Wide resection | Resection | Biopsy | Biopsy |
Pathology | NSM | NSM | NSM | NSM with dysplasia |
Follow-up | NED (36 mos) | NED (18mos) | NED (50 mos) | NED (14 mos) |