Abstract :
Necrotizing Sialometaplasia is rare and in the oral cavity it accounts <1% of all biopsied lesion. For decades Necrotizing Sialometaplasia were treated by conservative management as it is a self healing lesion. The progressive healing period was reported from 2 weeks to 3 months in the literature. Is necrotizing sialometaplasia a self-limiting disease? Here we report a case of non-healing necrotizing sialometaplasia which was treated by surgical management. Complete regression of the lesion was evident after the surgical management and no recurrence until two years of follow-up.
Keywords :
Necrotizing Sialometaplasia, palate, self-limiting diseaseReferences :
- Kandula S, Manjunatha BS, Tayee P, Astekar M. Bilateral necrotizing sialometaplasia. BMJ Case 2016:bcr2015211348. doi: 10.1136/bcr-2015-211348.
- Ashwarya Trivedi, Mysore K Sunil, Sonam Gupta, Shaveta Garg. Necrotizing sialometaplasia of the palate: A case report. Journal of Indian Academy of Oral Medicine & Radiology 2014; 26: 355-358.
- Ilana Kapla, Michael Alterman, Shlomo Kleinman, Vadim Reiser, Amir Shuster, Yaniv Dagan, Benjamin Shlomi. The clinical, histologic, and treatment spectrum in necrotizing Sialometaplasia. Oral Surg Oral Med Oral Pathol Oral Radiol2012; 114:577-585.
- Alessandro Gatti, Emanuele Broccardo, Giuseppe Poglio, Arnaldo Benech. Necrotizing Sialometaplasia of the Hard Palate in a Patient Treated with Topical Non-steroidal Anti Inflammatory Drug. Case Reports in Dentistry 2016, Article ID 9545861, http://dx.doi.org/10.1155/2016/9545861
- BenguCobanoglu, Selcuk Arslan, Ismail Saygin.A rare case of necrotizing sialometaplasia of palate treated with intralesional steroid injection. Journal mucosa 2018; 1: 24-27.
- Diane L. Carlson. Necrotizing Sialometaplasia: A Practical Approach to the Diagnosis. Arch Pathol Lab Med. 2009; 133:692–698.
- Abrams A M, Melrose R J, Howell, F. V. Necrotizing sialometaplasia. A disease simulating malignancy. Cancer 1973; 32: 130–135. doi:10.1002/1097-0142(197307)32:1<130::aid-cncr2820320118>3.0.co;2-8
- Mesa ML, Gertler RS, Schneider LC. Necrotizing sialometaplasia: Frequency of histologic misdiagnosis. Oral Surgery, Oral Medicine, Oral Pathology 1984; 57: 71–73.doi:10.1016/0030-4220(84)90264-0
- Diane L. Carlson. Necrotizing Sialometaplasia: A Practical Approach to the Diagnosis. Arch Pathol Lab Med. 2009; 133:692–698.
- Gnepp DR, Brandwein MS, Henley JD. Salivary and lacrimal glands. In: GneppDR,ed. Diagnostic surgical pathology of the head and neck. 2nd edn. Philadelphia: Saunders, 2009:325–430.
- Luna E B, Janini M E R, Meirelles V, Werneck J T, Postorivo R, DE Rocha Curvello J A, Agostini M. Necrotizing Sialometaplasia of the Inferior Lip: Case Report and Conservative Management. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology 2014; 117: e174.doi:10.1016/j.oooo.2013.12.13
- Srinivas Kandula, Bhari Sharanesha Manjunatha, Priyanka Tayee, Madhusudan Astekar. Bilateral necrotisingsialometaplasia. BMJ Case Rep 2016. doi:10.1136/bcr-2015-211348
- B. Brannon, C. B. Fowler, K. S. Hartman. Necrotizing sialometaplasia. A clinicopathologic study of sixty-nine cases and review of the literature. Oral Surgery, Oral Medicine, Oral Pathology 1991; 72: 317–325.
- Sun Ah. Shin, Hee Young Na, Ji Young Choe, Seung-No Hong, Ho Lee, Sunwon Park, Ji Eun Kim. Necrotizing sialometaplasia: a malignant masquerade but questionable precancerous lesion, report of four cases. BMC Oral Health 2020; 20:206. https://doi.org/10.1186/s12903-020-01189-1
- Tanu Randhawa, Ipe Varghese, PM Shameena, S Sudha, Resmi G Nair. Necrotizing sialometaplasia of tongue. J Oral MaxillofacPathol 2009; 1: 35–37. doi: 4103/0973-029X.48755
- Balaji SM, Preetha Balaji. Surgical management of necrotizing sialometaplasia of palate. Indian Journal of Dental Research 2015; 26: 550-550.