Pleomorphic adenoma of the soft palate

Case contributed by Mahomed A. Osman
Diagnosis certain

Presentation

Lump in the back of the mouth. Difficulty swallowing.

Patient Data

Age: 40
Gender: Male

There is an ovoid soft tissue mass arising from the posterior soft palate with clear margins. It is largely iso to hypointense on T1 weighted imaging, with surrounding areas of hyperintensity. There is heterogenous signal intensity within the lesion on T2 weighted imaging, with prominent areas of signal hyperintensity. There is moderate enhancement on post contrast imaging. A right sided submental nodule is seen which is hyerintense on T1 weighted imaging and hypointense on T2 weighted imaging.

Case Discussion

The mass was surgically removed and confirmed to be a pleomorphic adenoma on histopathological analysis. The submental nodule was found to be a lipoma on histopathological analysis.

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