Diagnostic Challenges of Traumatic Ulcerative Granuloma with Stromal Eosinophilia in the Hard Palate

Traumatic ulcerative granuloma with stromal eosinophilia (TUGSE) is a benign lesion that may arise from the oral mucosa consisting in an ulcerative lesion usually localized in the tongue or cheek. Palate localization is very rare. <b>Background</b>/<b>Objectives</b>: The aim...

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Main Authors: Giacomo Setti, Stefania Caramaschi, Giuseppe Barile, Antonio d’Amati, Marta Forte, Giuseppe D’Albis, Pierantonio Bellini, Giovanna Garuti, Luisa Limongelli, Saverio Capodiferro
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Language:English
Published: MDPI AG 2025-01-01
Series:Diagnostics
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Online Access:https://www.mdpi.com/2075-4418/15/2/199
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author Giacomo Setti
Stefania Caramaschi
Giuseppe Barile
Antonio d’Amati
Marta Forte
Giuseppe D’Albis
Pierantonio Bellini
Giovanna Garuti
Luisa Limongelli
Saverio Capodiferro
author_facet Giacomo Setti
Stefania Caramaschi
Giuseppe Barile
Antonio d’Amati
Marta Forte
Giuseppe D’Albis
Pierantonio Bellini
Giovanna Garuti
Luisa Limongelli
Saverio Capodiferro
author_sort Giacomo Setti
collection DOAJ
description Traumatic ulcerative granuloma with stromal eosinophilia (TUGSE) is a benign lesion that may arise from the oral mucosa consisting in an ulcerative lesion usually localized in the tongue or cheek. Palate localization is very rare. <b>Background</b>/<b>Objectives</b>: The aim of this study is to describe a case of TUGSE occurring in the hard palate of an 83 y.o. female patient, manifesting as a non-painful growing palatal lesion approximately of 3.5 × 2 cm with firm consistency and a central area of erosion and erythema, the difficulties in clinical diagnosis, and the criteria for the differential diagnosis. Also, considering the rare occurrence of TUGSE in the palate, we performed a review of the literature too. <b>Methods</b>: A comprehensive review of the literature was conducted following the 2020 PRISMA guidelines and a total of seven records were identified as matching the inclusion criteria of this study. <b>Results Conclusions</b>: Although TUGSE is a benign lesion, the clinical presentation as a proliferative and ulcerative lesion may be challenging for clinicians mainly when arising in rare sites of occurrence (e.g., the hard palate).
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spelling doaj-art-64bcba640d734a5184cf676e1e0af1c12025-01-24T13:29:05ZengMDPI AGDiagnostics2075-44182025-01-0115219910.3390/diagnostics15020199Diagnostic Challenges of Traumatic Ulcerative Granuloma with Stromal Eosinophilia in the Hard PalateGiacomo Setti0Stefania Caramaschi1Giuseppe Barile2Antonio d’Amati3Marta Forte4Giuseppe D’Albis5Pierantonio Bellini6Giovanna Garuti7Luisa Limongelli8Saverio Capodiferro9Dentistry and Oral-Maxillofacial Surgery, Department of Surgical, Medical, Dental, and Morphological Science, University of Modena and Reggio Emilia, Via Del Pozzo 71, 41125 Modena, ItalyDepartment of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Via Del Pozzo 71, 41125 Modena, ItalyDepartment of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70121 Bari, ItalyDepartment of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari “Aldo Moro”, 70100 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70121 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70121 Bari, ItalyDentistry and Oral-Maxillofacial Surgery, Department of Surgical, Medical, Dental, and Morphological Science, University of Modena and Reggio Emilia, Via Del Pozzo 71, 41125 Modena, ItalyDentistry and Oral-Maxillofacial Surgery, Department of Surgical, Medical, Dental, and Morphological Science, University of Modena and Reggio Emilia, Via Del Pozzo 71, 41125 Modena, ItalyDepartment of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70121 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70121 Bari, ItalyTraumatic ulcerative granuloma with stromal eosinophilia (TUGSE) is a benign lesion that may arise from the oral mucosa consisting in an ulcerative lesion usually localized in the tongue or cheek. Palate localization is very rare. <b>Background</b>/<b>Objectives</b>: The aim of this study is to describe a case of TUGSE occurring in the hard palate of an 83 y.o. female patient, manifesting as a non-painful growing palatal lesion approximately of 3.5 × 2 cm with firm consistency and a central area of erosion and erythema, the difficulties in clinical diagnosis, and the criteria for the differential diagnosis. Also, considering the rare occurrence of TUGSE in the palate, we performed a review of the literature too. <b>Methods</b>: A comprehensive review of the literature was conducted following the 2020 PRISMA guidelines and a total of seven records were identified as matching the inclusion criteria of this study. <b>Results Conclusions</b>: Although TUGSE is a benign lesion, the clinical presentation as a proliferative and ulcerative lesion may be challenging for clinicians mainly when arising in rare sites of occurrence (e.g., the hard palate).https://www.mdpi.com/2075-4418/15/2/199TUGSEoral cavityoral pathology
spellingShingle Giacomo Setti
Stefania Caramaschi
Giuseppe Barile
Antonio d’Amati
Marta Forte
Giuseppe D’Albis
Pierantonio Bellini
Giovanna Garuti
Luisa Limongelli
Saverio Capodiferro
Diagnostic Challenges of Traumatic Ulcerative Granuloma with Stromal Eosinophilia in the Hard Palate
Diagnostics
TUGSE
oral cavity
oral pathology
title Diagnostic Challenges of Traumatic Ulcerative Granuloma with Stromal Eosinophilia in the Hard Palate
title_full Diagnostic Challenges of Traumatic Ulcerative Granuloma with Stromal Eosinophilia in the Hard Palate
title_fullStr Diagnostic Challenges of Traumatic Ulcerative Granuloma with Stromal Eosinophilia in the Hard Palate
title_full_unstemmed Diagnostic Challenges of Traumatic Ulcerative Granuloma with Stromal Eosinophilia in the Hard Palate
title_short Diagnostic Challenges of Traumatic Ulcerative Granuloma with Stromal Eosinophilia in the Hard Palate
title_sort diagnostic challenges of traumatic ulcerative granuloma with stromal eosinophilia in the hard palate
topic TUGSE
oral cavity
oral pathology
url https://www.mdpi.com/2075-4418/15/2/199
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