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Intraoral blue (Jadassohn-Tieche) nevus.
Authors:C D Hasse  G L Zoutendam  O F Gombas
Affiliation:1. Oral and Maxillofacial Surgery Section, Veterans Administration Hospital, Wood, Wis. USA;1. Marquette University School of Dentistry, Milwaukee, Wis. USA;7. Oral and Maxillofacial Surgery Section, Veterans Administration Hospital. Wood, Wisc. USA;71. Pathology Section, Veterans Administration Hospital. Wood, Wisc. USA;1. Residency, Oral and Maxillofacial Surgery, Meharry Medical College, 1005 TB Todd Jr. Boulevard, Nashville, TN 37208, USA;2. Oral and Maxillofacial Surgery, Meharry Medical College, 1005 TB Todd Jr. Boulevard, Nashville, TN 37208, USA;1. Gold Coast Oral Health Service, Gold Coast University Hospital, 1 Hospital Boulevard, Southport, Queensland 4215, Australia;2. Griffith Health, Griffith University, Gold Coast Campus, Queensland 4222, Australia;1. Department of Dentistry, Far Eastern Memorial Hospital, New Taipei City, Taiwan;2. Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, Taipei, Taiwan;3. Department of Dentistry, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan;4. Graduate Institute of Oral Biology, School of Dentistry, National Taiwan University, Taipei, Taiwan;1. Department of Dentistry, Far Eastern Memorial Hospital, New Taipei City, Taiwan;2. Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, Taipei, Taiwan;3. Department of Dentistry, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan;4. Graduate Institute of Oral Biology, School of Dentistry, National Taiwan University, Taipei, Taiwan;5. School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan
Abstract:Blue nevus of the oral mucosa is a distinctly uncommon clincial entity. Careful review of the literature yielded thirty-one previously reported cases. The present article reports the occurrence of a blue nevus of the hard palate in a 58-year-old man. It is of interest since it is the smallest (1 by 1 mm.) intraoral blue nevus to be reported. A clinicopathologic study of the previous thirty-one cases and of our case suggests that this lesion has no age or sex predilection. The most common site of occurrence was the hard palate. There appears to be no tendency toward recurrence. A brief review of the historical background, clinical features, theories of possible origin, and differential diagnosis is presented. Excisional biopsy of localized areas of oral pibmentation, together with histopathologic study, is indicated to rule out melanoma.
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