title: Necrotizing sialometaplasia: A diagnostic dilemma!
abstract: Necrotizing sialometaplasia (NS) is a benign, self-limiting inflammatory reaction of salivary gland tissue which may mimic squamous cell carcinoma or mucoepidermoid carcinoma, both clinically and histologically, that creates diagnostic dilemma leading to unwarranted aggressive surgery. Most commonly affected site is the minor salivary glands of the palate. The pathogenesis is unknown but is believed to be due to ischemia of vasculature supplying the salivary gland lobules. A simple incisional biopsy is required to confirm the histological diagnosis and to rule out more serious disease processes. It is a self-limiting disease process and requires no treatment. It will be prudent to do repeat biopsy in case if the lesion does not heal within 3 months.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Bharati Vidyapeeth University Dental College and Hospital, Pune, Maharashtra, India.
authors.forename: Samir A
authors.initials: SA
authors.lastname: Joshi
authors.affiliation: Department of Oral and Maxillofacial Surgery, Bharati Vidyapeeth University Dental College and Hospital, Pune, Maharashtra, India.
authors.forename: Rajshekhar
authors.initials: R
authors.lastname: Halli
authors.affiliation: Department of Oral Medicine and Radiology, Bharati Vidyapeeth University Dental College and Hospital, Pune, Maharashtra, India.
authors.forename: Vaishali
authors.initials: V
authors.lastname: Koranne
authors.affiliation: Department of Conservative Dentistry and Endodontics, Bharati Vidyapeeth University Dental College and Hospital, Pune, Maharashtra, India.
authors.forename: Sarita
authors.initials: S
authors.lastname: Singh
keywords: Ischemia; necrotizing sialometaplasia; palate; self limiting disease