Pathology · single question

A small, smooth, dome-shaped lesion at the junction of the hard and soft palate. What is the most likely diagnosis?

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  1. Granular cell tumor
  2. Pleomorphic adenoma
  3. Central giant cell lesion
  4. Incisive cyst
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Correct answer: D. Incisive cyst

  • A. Incorrect. Incisive canal cysts occur at the anterior midline palate near the incisive foramen, not at the hard-soft palate junction.
  • B. Incorrect. Granular cell tumors typically appear on the tongue, not the palate junction.
  • C. Incorrect. Central giant cell lesions are intraosseous and would appear as radiolucencies, not submucosal domes.
  • D. Correct. Pleomorphic adenoma is the most common benign salivary gland tumor and most commonly arises at the junction of the hard and soft palate from minor salivary glands. It presents as a smooth, painless, dome-shaped mass.

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