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Diagnostic dilemma: our experience with necrotising sialometaplasia
  1. Lekhaa Mohanraj,
  2. Urvashi Singh and
  3. Somu Lakshmanan
  1. Otorhinolaryngology, Sri Ramachandra Medical College and Research Institute, Chennai, Tamil Nadu, India
  1. Correspondence to Dr Urvashi Singh; dr.urvashi.s{at}


A man in his 40s presented to our outpatient department with a painful ulcer in the oral cavity for 1 week. After intraoral examination, a single hard palate ulcer, which was non-tender on palpation, was noted. Baseline blood investigations such as haemogram and serological evaluation were within normal limits. Under local anaesthesia, an excisional biopsy was performed. The histopathological examination revealed a reactive necrotising inflammatory process involving minor salivary glands with no cytological atypia. Weekly follow-up was performed and at the end of 4 weeks, complete healing of the lesion had occurred without any further intervention.

  • Ear, nose and throat/otolaryngology
  • Head and neck cancer

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  • Contributors All authors contributed to study conception and design. Material collection was done by LM. Formal analysis and original drafting were done by US, while review and editing were done by SL.

  • Funding No funding

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.