MedPix® Patient Chart - Case No: 13135 :: Imaging - Review Images

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History

Age: 27 :: Gender: woman

Patient History

27 y.o. woman with a hard lump noted arising from hard palate along "roof" of oral cavity.

Exam


Physical Exam and Laboratory

Hard palpable mass noted on exam; No labs


Findings


Summary of Findings

CT image demonstrates bony masses arising from the inferior cortex of the hard palate and from the medial margins of the maxilla.


Diffferential


Differential Diagnosis

• Torus palatinus
• Osteoma
• Osteochondroma
• Metastasis


Diagnosis


Case Diagnosis

Dx: Torus Palatinus


Dx Confirmed by: Imaging and physical exam

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Followup


Followup and Treatment

Patient considering resection of torus

Discussion


Discussion for this Patient

For additional color photographs of this condition, please see - LINK -


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Topic


Torus Palatinus

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Palate tori are bony outgrowths (exostoses) seen in the oral cavity that typically arise from the hard palate or inner maxilla/mandible. When arising from the mandible, they are referenced "torus mandibularis." They vary in size (most < 2cm) and shape (flat-broad based, "spindle" shaped with ridges, nodular, or lobular) and are commonly seen by dental professionals and/or head-neck imagers. They are often found in young adults, and they can increase in size over time. There is no known malignant potential.

While tori are usually clinically insignificant, mucosal ulcers may form over tori (presumably from repeated trauma), and hence surgical resection can be performed.