A painful crater like 1.5 cm ulcer develops within one week on the hard palate mucosa of a 40 year old female The most likely diagnosis is_______________?

Correct answer: D. Necrotizing sialometaplasia

  • A. Actinomycosis
  • B. Squamous cell carcinoma
  • C. Pleomorphic adenoma
  • D. Necrotizing sialometaplasia

Explanation

Necrotizing sialometaplasia commonly presents as a rapidly developing, painful crater-like ulcer on the posterior hard palate and can closely mimic squamous cell carcinoma. Its abrupt onset and typical palatal location are important clues.

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