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Blue Nevus of The Palate: A Case Image
Laura Silva Siano Rodrigues1, Isabella de Almeida Francisquini1, Yuri de Lima Medeiros2
1School of Dentistry, Federal University of Juiz de Fora, Juiz de Fora, Rua José Lourenço Kelmer, s/n, São Pedro, MG, Brazil.
Head and Neck Pathology
|June 30, 2025
Summary
A rare blue nevus presented as a large, dark oral lesion, mimicking malignancy. Histopathology confirmed the benign diagnosis, emphasizing its importance in differentiating oral pigmented lesions.
Area of Science:
- Oral Surgery
- Dermatopathology
- Oncology
Background:
- Blue nevi are benign melanocytic proliferations, uncommon in the oral cavity.
- Pigmented oral lesions can present diagnostic challenges, sometimes mimicking malignancy.
Purpose of the Study:
- To report a rare case of oral blue nevus.
- To highlight diagnostic challenges posed by large, pigmented oral lesions.
Main Methods:
- Clinical examination of a pigmented oral lesion.
- Incisional biopsy and histopathological analysis.
- Surgical excision and clinical follow-up.
Main Results:
- A 1.5 cm x 1 cm darkly pigmented macule on the hard palate was diagnosed as blue nevus.
- Histopathology revealed spindle cells with melanin pigment.
- Surgical excision resulted in satisfactory healing without recurrence at 5 months.
Conclusions:
- Oral blue nevi are rare and can mimic malignant lesions due to size and location.
- Histopathological analysis is crucial for accurate diagnosis of pigmented oral lesions.
- Clinical vigilance and follow-up are essential for managing such cases.
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