  Case of the Week - Patient Summary 13135Peer Reviewed and Certified - | |
| Demographics: 27 y.o. woman | |
| History & Chief complaint: | |
| 27 y.o. woman with a hard lump noted arising from hard palate along "roof" of oral cavity. | |
| Physical exam and Laboratory: | |
| Hard palpable mass noted on exam; No labs | |
| 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. | |
| Differential Diagnosis: | |
| • Torus palatinus
• Osteoma • Osteochondroma • Metastasis | |
| Diagnosis: | |
 Torus Palatinus | |
| Confirmed by: Imaging and physical exam | |
| Treatment and Followup: | |
| Patient considering resection of torus | |
| Patient Specific Discussion: (Also Read the Disease Discussion) | |
| For additional color photographs of this condition, please see - LINK - | |
| 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. | |
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