Journal of Evolution of Medical and Dental Sciences

Papillomatous Lesion of the Hard Palate - A Clinical Image

2026-04-30T05:52:46+00:00

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.

Sinonasal Malignant Melanoma - A Rare and Aggressive Entity

2026-04-30T09:52:00+00:00

Sinonasal malignant melanoma (SNMM) accounts for less than 1% of melanomas and less than 4% of sinonasal tumors. They are uncommon, aggressive tumors originating from mucosal melanocytes.^[1] Elderly individuals often experience nonspecific symptoms, such as obstruction or epistaxis, which can lead to a delayed diagnosis. . In order to stop the tumor from spreading locally and regionally, an early and precise diagnosis is crucial because the tumor is extremely aggressive. The number of sinonasal malignant melanomas that have been reported and published has increased recently.

Primary Lymphoepithelial Carcinoma of the Parotid Gland- A Case Report

2026-04-30T09:51:59+00:00

LEC (Lymphoepithelial Carcinoma) arising in the salivary glands is extremely rare; it was originally described by Hilderman in 1962 and comprises only 0.4% of salivary carcinomas.^[1,2] It is identified by histopathological features of undifferentiated malignant epithelial cells within lymphoid stroma cells.^[3]It has a female preponderance. It is associated with Epstein-Barr virus infection; the Arctic Inuit, Japanese, and Southern Chinese populations have a strong association with EBV infection.^[4]The histology is closely related to nasopharyngeal carcinoma; hence, it has to be ruled out. Commonly found in foregut derivatives, salivary glands, thymus, stomach and liver. However, other anatomical locations, such as the bladder, lacrimal glands, ovaries, cervix, and skin, were also reported.^[5]The mainstay of treatment of parotid LEC is surgical resection with adequate safety margins for patients with resectable tumours.^[2] LEC is highly radiosensitive; hence, surgery with adjuvant radiotherapy improves the patients' long-term survival compared to those treated with surgery alone. We present this rare case of primary lymphoepithelial carcinoma of the left parotid gland, which was treated with superficial parotidectomy followed by adjuvant radiotherapy.

Our case report describes an 85-year-old female diagnosed with primary lymphoepithelial carcinoma of the left parotid, treated with left superficial parotidectomy with adjuvant radiotherapy. There were no recurrences noted during one year of follow-up; currently, the patient is under regular follow-up.

We present this rare case of primary lymphoepithelial carcinoma of the left parotid gland, which was treated with superficial parotidectomy followed by adjuvant radiotherapy.