Solitary Pleomorphic Adenoma of the Palate

Abstract

Pleomorphic adenoma (PA) is the most common tumor of salivary glands .The parotid gland is the most common site (90%) of origin and it is rarely seen in other minor salivary glands. Nearly 8% of  PA involves minor salivary glands- the palate (60-75%) followed by lips and other sites. We report a palatal mass in a 52-year-old gentleman. The patient’s major concern was swelling in his oropharynx with voice change and dysphagia. History revealed, the swelling was painless and gradually grew over two years to its present size. The initial diagnosis of pleomorphic adenoma was confirmed upon histopathology reports after incisional biopsy. The case was treated successfully by creating a mucoperiosteal flap under local anaesthesia after tracheostomy. No recurrence till date have been reported after follow up of several months. Pleomorphic adenoma of the palate is a rare tumor, and thus a high index of suspicion and a long-term follow-up is required.