57 YO female with a 5 year history of a slow growing mass in her central hard palate. Asymptomatic, but she reported an increase in size the past several months. She denied any associated dysphagia, odynohagia, otalgia, altered sensation to palatal soft tissues or unintentional weight loss or change in appetite. What is diagnosis? and mx?

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Fine needle aspiration cytology ?? FNAC....Did you do? Any h/o erosion of overlying mucosa and bleeding?? Onset looks benign tumour with features characteristic of pleomorphic adenoma.  There is no mention of cervical lymphadenopathy? TNM staging Unlikely malignant for me. However its to be also noted that in a small number of cases, a benign pleomorphic adenoma may degenerate into a malignant tumour. DDx Palatal abscess, Odontogenic tumours Non-odontogenic cysts, Fibroma, lipoma, Neurofibroma, Neurilemmoma Condyloma acuminata,  CT will rule out. You've not mentioned the consistency? If hard ?? can also include Torus palatinus Any soft tissue benign tumour can only be differentiated by the histopathological investigation like FNAC or incisional biopsy.

Well explained sir
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Pleomorphic adenoma is the most common salivary gland tumor, of all major and minor salivary gland tumors. The commonest sites for intraoral PA are palate, buccal mucosa and lips.Palatal PA presents clinically as a painless, slow-growing mass found on posterior lateral aspect. Advice biopsy and confirm There is no ulceration so malignancy is ruled out.

People who have answered malignancy on what basis they believe this is a case of malignancy The case presented here clearly says duration is five years which is indicative of lesion being benign There are no other features of cancer, no ulceration, no symptoms, no surface ulceration, no dysphagia odynophagia. I am not able to relate malignancy in provisional diagnosis

Agree with you, Mam.
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Pleomorphic adenoma is a common benign salivary gland neoplasm characterised by neoplastic proliferation of parenchymatous glandular cells along with myoepithelial components, having a malignant potentiality. It is the most common type of salivary gland tumor and the most common tumor of the parotid gland.

Benign tumour of accessory salivary gland.... Most probably pleomorphic adenoma....... Excision biopsy. Nothing to suggest either in history or inspection to tell it is a malignancy

Malignancy soft palate Biopsy for final diagnosis

Tnx
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May be a case of malignancy hard palate Biopsy for comfirmation.

Looks like pleomorphic adenoma.....agreed with @Nazia Sayed plan excisional biopsy .... recurrence is common ....

malignancy required biopsy

Pleomorphic adenoma Salivary gland tumors Fibroma Neurofibroma Biopsy

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