Soft tissue mass in cheek

Soft tissue myxoma of the cheek SpringerLin

  1. In the maxillofacial region, soft tissue myxomas have been found in the skin and subcutaneous tissue, fascia, parotid glands, larynx, tonsils and ears [ 4 - 7 ]. The most frequent intraoral locations were the palate, cheeks, lips, floor of the mouth and gingiva [ 7 ]. In the case described here the cheek region was affected
  2. Soft tissue tumors are a heterogeneous group of benign and malignant lesions that develop from various nonepithelial, extraskeletal elements, including adipose tissue, smooth and skeletal muscle, tendon, cartilage, fibrous tissue, blood vessels, and lymphatic structures
  3. ation, there was a submucosal painless mass involving the vestibule of the right cheek. This lump was 4 centimetre (cm) in diameter, firm and relatively fixed on the deep plane
  4. A soft tissue mass in and of itself usually does not cause fatigue or changes in metabolism. A newly found mass may elicit patient anxiety which may lead to fatigue. Chemotherapy treatment for a sarcoma (cancerous growth) could cause a patient fatigue, as well
  5. J.M. Willhite A PET scan may be conducted to diagnose a soft tissue mass. A soft tissue mass, also known as a soft tissue tumor or sarcoma, is a malignant growth that forms in the connective, soft tissues of the body, such as the muscles, tendons, and blood vessels
  6. Buccal mucosa is another name for the inside lining of the cheeks. These cancers usually occur in the thin, flat cells called squamous cells that line the buccal mucosa and other parts of the mouth. Inner cheek cancer is classified as squamous cell carcinoma. Cancer on the outer cheeks is considered skin cancer

Soft Tissue Tumors of the Head and Neck: Imaging-based

Soft tissue sarcoma is a rare type of cancer that begins in the tissues that connect, support and surround other body structures. This includes muscle, fat, blood vessels, nerves, tendons and the lining of your joints. More than 50 subtypes of soft tissue sarcoma exist. Some types are more likely to affect children, while others affect mostly. Buttock soft tissue sarcoma: clinical features, treatment, and prognosis Buttock sarcomas present special surgical difficulties because of proximity of the sciatic nerve and the ability of tumors at this site to extend into the pelvis and perineum. Size and grade of the tumor were independent predictors for disease-free and overall survival Ultrasound is routinely used to evaluate palpable soft tissue masses. 1 Ultrasound differentiates cystic from solid masses, which often require biopsy to exclude malignancy, 2 and can identify superficial soft tissue tumor margins and local tumor spread. 3 Limitations primarily relate to evaluation of deep soft tissue structures, bone, and masses that calcify or ossify, casting acoustic shadows that obscure deeper structures A painless lump or mass under the skin of your arm or leg may be the first sign of a soft tissue sarcoma. If a soft tissue sarcoma develops in your stomach, it may not be discovered until it's very.. Contrast-enhanced CT (puffed cheek method) revealed a well-defined, enhanced, round soft-tissue mass of the left cheek over the buccinator muscle (arrow) measuring 13.8 9 mm along with a tiny satellite lesion (arrowhead). Figure 2 Hematoxylin and eosin stain, 40. Glomus tumor of the solid type

Solitary fibrous tumour of the cheek: Immunohistological

The USG of cheek and neck revealed lobulated, well-defined, hypoechoic soft tissue mass lesion of size 3.6 × 1.3 cm 2 in the soft tissue of the left cheek . There were multiple left intraparotid enlarged lymph nodes and two internal jugular lymph nodes, the largest measuring 1.2 × 1.1 cm 2 . Left parotid gland was normal Overview Jaw tumors and cysts are relatively rare growths or lesions that develop in the jawbone or the soft tissues in the mouth and face. Jaw tumors and cysts, sometimes called odontogenic tumors and cysts, can vary greatly in size and severity Description: There is significant increase in the soft tissue thickness of cheek on the left side. It is predominantly hypoechoic in nature and this decreased on compression. Caption: Comparative color Doppler images of both sides of cheek. Description: The soft tissue mass on the left side shows some areas of flow within

Our finding of a firm soft tissue mass on the anterior aspect of the maxillary wall was representative of tuberculosis colliquativa cutis, which is a localised granulomatous tuberculous infection of the subcutaneous tissue. The differentials considered were the inflamed lymph node, sebaceous cyst, benign growth or the granulomatous lesion For many people, the first symptom of soft tissue sarcoma is a painless slow-growing lump in the trunk or limbs. As the mass grows, it may begin to press upon nerves or muscles and possibly cause pain, numbness, and/or skin breakdown

The intra-oral mucosa over the mass appeared normal. A provisional diagnosis of buccal soft tissue lipoma was made with epidermoid cyst as a differential diagnosis. Imaging using ultrasonography revealed a fairly well circumscribed echogenic mass in the left cheek measuring 1.67 cm by 1.23 cm with no evidence of neovascularization noted within M79.89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM M79.89 became effective on October 1, 2020. This is the American ICD-10-CM version of M79.89 - other international versions of ICD-10 M79.89 may differ. Applicable To

Soft Tissue Masses UW Orthopaedics and Sports Medicine

For both normal and overweight BMI categories, males had more soft tissue at the majority of facial points than females, as the only exceptions were observed in the cheek zone, where STTs were thicker in females. Significant bilateral differences were observed in either sex and BMI category In instances where better resolution of soft tissue planes is needed, an MRI with gadolinium is typically obtained. Figure 2A-C reveals the true stories of these ostensibly similar mid‐cheek masses. Although CT may add little to the treatment of patients with small lesions, for those with larger masses or when malignancy is highly suspected. Dermoid cysts, typically located in the submental triangle, are soft, doughy, painless masses that enlarge with entrapment of epithelium in deeper tissue and are less prevalent than thyroglossal. M79.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM M79.9 became effective on October 1, 2020. This is the American ICD-10-CM version of M79.9 - other international versions of ICD-10 M79.9 may differ

buccal mucosa - soft tissue inside the cheek - linea alba: the white ridge of raised tissue extends horizontally at the level where the maxillary and mandibular teeth come together . J. Jamie Dezenzo True Blue. Messages 857 Location Mishawaka, IN Best answers 0. Dec 23, 2010 #3 Thanks for your help!!! Have a HAPPY HOLIDAY! P Millones de Productos que Comprar! Envío Gratis en Pedidos desde $59 Extraskeletal soft tissue chondroma is a rare, benign, slow-growing cartilaginous tumor. Its pathological diagnosis is based on radiological and histopathological examination. There are a few reports of soft tissue chondroma in this region. We present a 57-year-old man with a painless mass measuring $$ {6}.{7} \\times {6}.0 \\times {4}.0{\\hbox{cm}} $$ in the left cheek

Contrast-enhanced CT will typically show an enhancing soft-tissue mass in the parotid gland. Cystic changes can be seen due to mucous-producing cells. On MRI, the lesion will have heterogeneous T1 and T2 signal with areas of high T2 signal indicating cystic changes. Indistinct margins suggest a higher-grade tumor Inner cheek cancer (also called buccal mucosa cancer) is a type of head and neck cancer that begins when the cells that make up the inner cheek grow out of control and form lesions or tumors. Buccal mucosa is another name for the inside lining of the cheeks. These cancers usually occur in the thin, flat cells called squamous cells that line the buccal mucosa and other parts of the mouth Axial non-contrast. There is evidence of a soft tissue density poorly enhancing mass lesion with phleboliths in the left cheek subcutaneous topography measuring 2.5 x 1.8 x 2.7 cm. No fat content lesion to suggest lipoma. No purely cystic nature to suggest cyst. No extension to the underlying muscles or oral cavity is seen A contrast-enhanced magnetic resonance image (MRI) of the face demonstrated a well-defined, round, soft tissue mass in the right cheek abutting the maxilla. Post contrast, the mass demonstrated heterogeneous high signal due to flow voids within (Figure 3)

A 48-year-old male presented with an asymptomatic, firm, mobile mass in the right cheek. MRI with gadolinium demonstrated a well-defined soft tissue mass anterior to the right buccinator, sandwiched between the buccinator, angle of the mandible and the lateral margin of the alveolus Non-cancerous tumours and conditions of the mouth. A non-cancerous (benign) tumour of the mouth is a growth that does not spread (metastasize) to other parts of the body. A non-cancerous condition of the mouth is a change to mouth cells, but it is not cancer. Non-cancerous tumours and conditions are not usually life-threatening A lipoma is a round or oval-shaped lump of tissue that grows just beneath the skin. It's made of fat, moves easily when you touch it and doesn't usually cause pain. Lipomas can appear anywhere on the body, but they're most common on the back, trunk (torso), arms, shoulders and neck. Lipomas are benign soft tissue tumors

What is a Soft Tissue Mass? (with pictures

A sarcoma is a type of cancer that starts in tissues like bone or muscle. Bone and soft tissue sarcomas are the main types of sarcoma. Soft tissue sarcomas can develop in soft tissues like fat, muscle, nerves, fibrous tissues, blood vessels, or deep skin tissues. They can be found in any part of the body In its early stages, a soft tissue sarcoma may not cause any symptoms. A painless lump or mass under the skin of your arm or leg may be the first sign of a soft tissue sarcoma

Part 3 is received fresh labeled right neck mass and hemimandibulectomy. The specimen consists of a 12.0 x 9.0 x 7.5 cm segment of mandibular facial skin and soft tissue attached to a resected right hemimandible that extends from the anterior of the canine tooth to the superior ramus Soft tissue sarcomas can grow to be quite large before causing symptoms because they often are embedded deep in the body, Dr. Shepard says. Most commonly, soft tissue sarcomas feel like masses or. Extraskeletal soft tissue chondroma of the cheek. European Journal of Plastic Surgery, 2010. Beste Kara. Download PDF. Download Full PDF Package. This paper. Extraskeletal chondroma: another diagnostic possibility for a soft tissue axillary mass in an adolescent. By Tal Laor 22902 Soft tissue abdominal wall, subcutaneous less 3 cm 22903 3 cm or greater SPECIMENS: Mass right cheek for permanent pathology. INDICATIONS FOR SURGERY: The patient is a 56-year-old man who has a mass of his right cheek. He tells methat he had a mass, which sounds like a lipoma removed in the past, so this has recurred.. Salivary gland tumors are possible causes of tiny lumps on the inside of the cheek, according to Merck Manuals. Oral cysts may also cause tiny, painless bumps inside the cheek, on the inner lower lip or on gums, says Simple Steps to Better Dental Health. Around 75 to 80 percent of salivary gland tumors grow slowly and are benign and pain-free.

Oral Pathology Ch

Inner Cheek Cancer (Buccal Mucosa Cancer) Memorial Sloan

ofthe lesion. Soft-tissue lesions are difficultto distinguish from other mesenchymal tumors. In our case, CT of the maxillary region showeda nonspecific,benign,soft-tissue mass that was indistinguishable from a hematoma. In a review of13 cases ofpediatric myofibromatosis, Beck et al typically characterized lesions as heterogenous masse Soft tissue sarcomas are malignant tumors that begin in soft tissue, such as muscle, fibrous tissues, tendons, fat, nerves, joint tissues and blood vessels. These tumors are rare and can form anywhere in the body. Usually, fewer than 1,000 new soft tissue sarcomas are reported in children each year in the United States A lipoma is a benign tumor made of fat tissue. They are generally soft to the touch, movable, and painless. They usually occur just under the skin, but occasionally may be deeper. Most are less than 5 cm in size. Common locations include upper back, shoulders, and abdomen. It is possible to have a number of lipomas Soft tissue sarcomas (STS) represent about 1% of adult cancers, of which liposarcoma is the most frequent entity in adults . and an excision of a mass in the soft tissues of the right cheek 5 years ago in another hospital. The histology of the mass was in favor of a lipoma with no signs of malignancy Hemangioma. A hemangioma is a benign (noncancerous) tumor made up of blood vessels. There are many types of hemangiomas, and they can occur throughout the body, including in skin, muscle, bone, and internal organs. Most hemangiomas occur on the surface of the skin or just beneath it. They often develop on the face and neck, and can vary greatly.

Grossly, lesional tissue appeared as capsulated fibro-fatty mass pale yellowish to greyish white in colour, soft in consistency and greasy to touch (Figure 2). As with all fatty tissue, a lipoma will float on the surface of formalin rather than to sink at the bottom of jar. Formalin fixed tissues were processed followed by sectioning and staining If the tumor is close to the skin or in an area of soft tissue such as the abdomen, the mass may be felt by touch. Depending on the location, possible symptoms of a benign tumor include

Soft tissue sarcoma - Symptoms and causes - Mayo Clini

Buttock soft tissue sarcoma: clinical features, treatment

asily confused with other types of soft tissue masses. Patient concerns: A 56-year-old woman presented with a 1-month history of a mass on the left cheek. The mass was hard and nontender. She had a history of thymectomy 26 years ago due to myasthenia gravis. Diagnosis: A soft tissue tumor measuring 2.5 × 0.8 cm was identified in the left accessory parotid gland on ultrasonography and enhanced. Computed tomography revealed a large soft-tissue mass (41.3 × 35.3 mm)(Figure 3A) involving the left buccal mucosa with extension into overlying muscle, subcutaneous tissue, and skin. Externally, the lesion was exophytic, irregular, and polypoidal with surface ulceration Cysts are noncancerous, closed pockets of tissue that can be filled with fluid, pus, or other material. Cysts are common on the skin and can appear anywhere The most commonly involved extra-nodal organs are the gastrointestinal tract, Waldeyer ring, and nasal cavity, while primary extra-nodal non-Hodgkin lymphoma (PE-NHL) arising from the spleen, soft tissue, mediastinum, and other tissues is rare. PE-NHL arising in buttock soft tissue is extremely rare. Only a few case reports are available in the. A torus is a slow-growing, rounded projection of bone that forms in the middle of the roof of the mouth (torus palatinus) or on the lower jaw by the side of the tongue (torus mandibularis). This hard growth is both common and harmless. Even a large growth can be left alone unless it gets scraped during eating or the person needs a denture that covers the area

Soft Tissue Masses Radiology Ke

  1. The MRI T1 sequence showed a well-defined low signal mass between the buccinator muscle and buccal fat (Figure 3(a)). The MRI T2 sequence showed that the mass is homogenous and high signal (Figure 3(b)). A soft tissue mass was suspected, and an intraoral surgical excisional biopsy was planned
  2. al wall. L02.212 Cutaneous abscess of back [any part, except buttock
  3. Oral Eosinophilic Granuloma: This condition occurs when there is a mass or growth in the dog's mouth. Gingival Hyperplasia: This condition occurs when gum tissue increases in size. Lypohocytic Plasmocytic: This condition is characterized by the presence of plasma cells and lymphocytes in the mouth -- each are types of white blood cells
  4. When an erupted maxillary third molar is traumatizing soft tissue around opposing tooth When the presence interferes with the fit of a partial or complete denture . Surgical Reduction of Fibrous Tuberosity Surgical reduction of fibrous Tuberosity is indicated when the presence interferes with the fit of a partial or complete denture
  5. 24066 Biopsy soft tissue upper arm/elbow area deep 24071 Exc tumor soft tissue upper arm/elbow subq 3cm/> 24073 Exc tumor soft tiss upper arm/elbw subfasc 5cm/> 24075 Exc tumor soft tiss upper arm/elbow subq <3cm 24076 Exc tumor soft tiss upr arm/elbow subfasc <5cm 24101 Arthrt elbow w/jnt expl w/wobx w/wormvl loose/fb.
  6. An extensive vascular soft tissue mass is seen in right cheek region, with a feeding venous channel from right jugular vein. From the case: Infantile hemangiomas. CT. recon VR Large Facial Hemangioma Lesion is shown on surface reconstruction by volume-rendering. Case Discussion. This case shows CT morphology of soft tissue hemangiomas, with.
  7. Abscesses: These are lumps that form as a result of an infection from a bite, wound or foreign object. They are often painful and can contain large amounts of blood and pus with the possibility of rupturing. Apocrine Cysts: These cysts are caused by obstructed skin glands. Think of them much like a human pimple

Soft Tissue Sarcoma (Rhabdomyosarcoma

This article presents a case report of a rare soft tissue myxoma arising in the cheek of a 44-year-old female patient. Discover the world's research 20+ million member Soft tissue chondromas are rare benign tumours unrelated to bone that arise primarily in the distal extremities. Lesions in the soft tissues of the oral cavity are extremely rare although several chondromatous lesions have been reported in the tongue. A case is presented of a chondroma arising in the buccal mucosa. It was composed of a lobulated mass of myxoid tissue showing central areas of.

If on her cheek there was a soft lump that moves on palpation, it may be a lipoma (Wen). Form, the tumor cells of adipose tissue. The lump is not sore, grows slowly, may be visible or only be detected when touching. Cause of disease is violation of metabolic processes in the body Like many forms of cancer, soft tissue sarcoma symptoms may appear at a more advanced stage of the disease, or you might not notice any symptoms at all. Symptoms, if they are present, will also vary depending on the type of sarcoma and its location.. Signs of soft tissue sarcoma include:. A lump or mass is the most common soft tissue sarcoma sign. The lump will form in the area in which the.

Glomus Tumor of the Cheek: A Case Repor

Skin and soft tissue infections (SSTIs) account for more than 14 million physician office visits each year in the United States, as well as emergency department visits and hospitalizations. 1 The. soft tissue tumors also can cause bone lysis and pro-liferation as well as a soft tissue mass. 4. Nasal Cavity, Paranasal Sinuses, and Maxillary Cheek Teeth Dental Conditions Infection of the maxillary cheek teeth can be chal-lenging to detect. The osseous changes adjacent to the affected tooth root can be subtle. Tooth root infections in the. A hematoma forms when a blood vessel breaks and blood leaks out into the surrounding tissue. This can form a clot, or retain its fluid state, depending on how old the injury is. Blood can come from an artery, vein, or capillary depending on where the damage occurs, and then accumulate in the soft tissue forming a bruise Background: The aim of the study is to measure the facial soft tissue thicknesses (STTs) in Bulgarians, to evaluate the relation of the STTs to the nutritional status, sex and bilateral asymmetry, and to examine the correlations between the separate STTs as well as between the STTs and body weight, height, and body mass index (BMI). In the present study, the facial STTs were measured on.

Upper Airway Pathology at New York University School of

Soft tissue may need to be rebuilt as well. Tumors near the eye area may require reconstructive surgery for eye conditions , while those removed from on or around the nose may need rhinoplasty . While injectables are an excellent temporary solution for repairing soft tissue, facial implants provide more permanent structural repair if needed size of the mass and is expected to follow up with serial MRIs. Rhabdomyosarcoma is a malignant neoplasm of undifferen-tiated muscle tissue. It is the most common soft tissue sarcoma in children, with an incidence of 0.4 per 100 000 children per year. 3 Upto35% ariseintheheadandneck.4 Whilemostoccursporadi These soft tissue calcifications are usually. It is composed of a. D/D: Calcified triticeous cartilage. The uniform size ,shape and location of calcified triticeous cartilage in the laryngeal cartilage helps differentiating. Composition - Hydroxyapatite, calcium phosphate, carbon,with trace amounts of magnesium, potassium chloride, and ammonium

Pathologic soft tissue calcification of the cheek is an uncommon condition. There are many different types of calcifications, which includes dystrophic calcification, metastatic calcification, phleboliths, myositis ossificans, calcifications within lymph nodes, and calcified cutaneous aces, making differential diagnosis difficult [].In order to manage these lesions, they need to be. Soft tissue sarcomas. Soft tissue sarcomas are a group of rare cancers affecting the tissues that connect, support and surround other body structures and organs. Tissues that can be affected by soft tissue sarcomas include fat, muscle, blood vessels, deep skin tissues, tendons and ligaments. Bone sarcomas are covered separately Lipomas are the most common fatty tumor found in adults and are likeliest to show up in middle age, between age 40 and 60. Their incidence is 2.1 per 1,000 individuals each year 91 year old male with left cheek nodule . MALT 71 year old female with history of MALT now with cervical LAD . 23 year old male with a posterior neck soft tissue mass . Ewing's sarcoma 23 year old male with a posterior neck soft tissue mass (cell block) DLBCL 65 year old female with multifocal LAD . Hodgkin lymphoma 31 year old female with. mass Soft Tissue Myxomas of Head and Neck • Palate 10 Oropharynx 3 • Parotid 6 Larynx 3 • Lip 4 Masseter 2 • Cheek 3 Alveolar Ridge 2 Sites of Occurrence (# total cases) • Average size 2 x 2 cm • Ovoid-spherical grayish, gelatinous mass • Soft to firm consistency • May be infiltrated with fat and mistaken for lipoma.

US of Pediatric Superficial Masses of the Head and Neck

Sweeping the Oral Cavity With the Multi-Axis Spiral Suction an assistant is now able to suction water without grabbing soft tissue such as the tongue, cheek, or palate. This allows them to actually sweep the entire mouth, unlike with a traditional HVE tip that grabs any tissue in its vicinity. Additionally, the pa I have small hard white lumps in the skin on my chest skin tag, soft,.. Plastic Surgery Scar tissue inside the cheek, internal scar. 16 Jul 2009. The cheek looks enlarged and when i touch my cheek it feels soft from inside and not as firm as the other one. Also the cheek feels slighly. One that eliminates all the problems with traditional HVE tips and saliva ejectors. Introducing the award-winning Multi-Axis Spiral Suction. No more grabbing the tongue, cheek, or other soft tissue. No cumbersome apparatuses are necessary in the situations when the dentist, assistant, or hygienist is working alone

Soft tissue hand : Injury can be severe, crush injuries can cause swelling that lead to stiffness and tightness of muscles and adherence of tendons and contractures of Read More. 90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more SOFT TISSUE 10021: This code may apply when a soft tissue mass is sampled by aspiration biopsy technique. Soft tissue is defined as the non-epithelial, non-skeletal, and non-visceral tissue of the body. Included as soft tissue are fibrous tissue, muscle, adipose tissue, peripheral nerves, and vascular tissue CPT Code For Excision Of Soft Tissue Mass. The procedure of excision can be performed in benign soft tissue tumor mass on the body. It is very effective. The soft tissue mass is picked with forceps and then cut off with a razor or scalpel. The CPT code for excisional procedure is 21930

Superficial Soft Tissues Masses Radiology Ke

Myofascial pain syndrome (MPS) is a fancy way to describe muscle pain.It refers to pain and inflammation in the body's soft tissues.. MPS is a chronic condition that affects the fascia (connective. R22.0 is a billable diagnosis code used to specify a medical diagnosis of localized swelling, mass and lump, head. The code R22.0 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code R22.0 might also be used to specify conditions or terms like. A lipoma is a benign fatty mass that can be found anywhere on a dog's body, typically under the skin. They usually feel soft and moveable and rarely cause pain or discomfort for the dog. Lipomas can be surgically removed if they interfere with your dog's mobility or comfort, grow rapidly, or rupture (causing skin damage). In rare cases, an.

Bony Bump On Gums: Mandibular Tori or Cancer? – MandibularPrimary hydatid cyst as a cause of pseudotumor of the buttockOdontogenic myxoma | Radiology Case | RadiopaediaOral tumors in Dogs, Cats, Pets - Pet Oral CancerFeline fibrosarcoma in the cheek: A surgical story | Dr

Localized superficial swelling, mass, or lump. Short description: Local suprficial swellng. ICD-9-CM 782.2 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 782.2 should only be used for claims with a date of service on or before September 30, 2015. For claims with a date of service on or. Local flap CPT Codes. Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm (14021) Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less (14040) Adjacent tissue transfer or rearrangement, forehead, cheeks, chin. Case Presentation: We reported a 54-year-old ex-smoker male patient who presented with a nodular mass to the left cheek. He denied any previous trauma. CT examination performed on initial presentation revealed a well circumscribed solid oval mass with soft tissue density, a calcified focus and no significative contrast enhancement after. A 75-year-old woman presented with a several-month history of an asymptomatic, progressively enlarging mass of her left cheek. Physical examination identified a firm, nontender, 6 x 5-cm left subcutaneous cheek mass that was not fixed to the underlying structures (figure 1). No overlying skin ulceration or changes in the buccal mucosa were noted