Papillomatous Lesion of the Hard Palate - A Clinical Image

Abstract

A 62-year-old male presented to our ENT outpatient department after having noticed a growth in the oral cavity for the past 2 months. No bleeding or difficulty in swallowing was seen. There was no history of tobacco or alcohol intake. He was known to be hypertensive on medication. A solitary, well-circumscribed exophytic, pedunculated lesion of size approximately 1.5 cm x 1.5 cm over right side of the hard palate was seen (Fig.). The surface was irregular with a pinkish white appearance. It was firm in consistency and did not bleed on touch. After workup, he underwent excision of the lesion with bipolar cautery of the base under local anaesthesia. After excision, the base was cauterised. Post-operative period was uneventful. Histopathological examination revealed papillary projections of stratified squamous epithelium supported by fibrovascular cores, consistent with squamous papilloma. No epithelial dysplasia or malignancy was noted. No recurrence was observed on follow-up.