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2004-06-20-09 Answer to the case of the week # 123 © Rios

Answer to the case of the week # 123

July 16-29, 2004

Lívia Rios, MD

São Luís - Brazil

This is a 24-year-old patient seen in the second trimester:

The large mass arising from the mouth could represent

  1. an epignathus (but it would be more solid and the roof of the mouth would be abnormal)
  2. a epulis (a granular cell tumor usually from the gingiva)
  3. a oral cephalocele (but the intracranial anatomy was too normal)
  4. Ranula which is a obstructed salivary duct

This was indeed a ranula.

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