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A 50-year-old man presented for a routine physical examination for the first time in 10 years. He reported having had no recent health problems. He had a 60 pack-year smoking history and did not drink alcohol. During the examination, a painless, firm mass was found on the hard palate. The remainder of the examination was unremarkable. The patient reported that this lesion had been present and without change since childhood. A torus palatinus, a benign overgrowth of bone, was diagnosed. Approximately 20% of the population has at least a small torus palatinus, which often goes unnoticed until middle age. This condition occurs twice as often in women as in men.
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