Mucoepidermoid carcinoma (mec) sorry, you are incorrect! It has been said that a swelling in the retromolar pad area that clinically looks like a mucocele should be suspected to be a mucoepidermoid carcinoma until histologically proven to be otherwise. This persistent ulcerated soft tissue swelling in the retromolar area raises the question of malignancy. However, the lesion does not look like a mucocele. The age of this patient and the location warrant that mec be included on the differential diagnosis. The clinical presentation of a persistent ulcerated swelling adds to the concern. However, the histology is not supportive of mec. Mucoepidermoid carcinoma is a malignant neoplasm of salivary gland origin that usually presents as a smooth-surfaced swelling or a non-healing ulcer on the posterior and lateral hard and soft palate. Mucoepidermoid carcinoma is also occasionally described in the retromolar pad area. Three histologic types are reported: low, intermediate and high; the low-grade type is more common in the oral cavity. Mucoepidermoid carcinoma accounts for 10% of all salivary gland neoplasms. While the majority occurs in the parotid gland, some also occur in minor salivary glands, especially the palate, tongue, buccal mucosa, lips, and retromolar pad areas. It can occur at any age with a predilection for occurrence in young people. Studies by the armed forces institute of pathology (afip) find 44% of cases occurring in patients under 20 years of age, most commonly on the palate. Their youngest patient was nine months old. The low-grade lesions are slow-growing and painless, and not encapsulated; they sometimes resemble a mucocele, especially those at the retromolar pad area. Retromolar pad area mucoceles are rare, and for that reason it is best to biopsy early to exclude the possibility of a mucoepidermoid carcinoma masquerading as a mucocele. High-grade lesions tend to be more common in the parotid gland; they present as rapidly growing, painful lesions with f. cheap viagra online discount viagra generic best price viagra online forsale 100 mg generic viagra discount viagra pills where can i buy viagra locally without a prescription viagra sale no prescription cheapest place to buy viagra online best place to buy viagra online lowest price for generic viagra
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