Abstract
Background: The hard palate is a thin horizontal bony plate made up of two bones of the facial skeleton, located on the roof of the mouth. The bones are the palatine process of the maxilla and the horizontal plate of the palatine bone. The hard palate spans the alveolar arch formed by the alveolar process that holds the upper teeth (when these are developed). If cancer is detected early, the overall 5-year survival rate for all persons is 85 percent. If cancer has progressed to other tissues or organs, as well as regional lymph nodes, the overall 5-year survival rate is 67%.
 Objective: Want to highlight the importance of primary prevention; education on risks of alcohol/tobacco use and oral hygiene. Secondary prevention; Early biopsy of any ulceration of the hard palate that does not regress with medical treatment. This would allow early diagnosis and minimal treatment with less morbidity and better survival chances.
 Case Presentation: A male of 58 yrs. old came with Pain in the mouth, difficulty in breathing, difficulty in mastication, difficulty in deglutition, balm application, change in voice tooth exfoliation, lack of appetite. Aggravates on mastication, difficulty in deglutition for 2 months, burning sensation on the consumption of spicy food for 2 months change in voice, nasal discharge, loss of appetite, weight loss, tooth exfoliation in the upper front region of jaw, and balm application (2-3episodes, 15 days back). All necessary investigations were carried out such as X-ray, MRI, CT scan, a biopsy of the tissue sample, and diagnosed Carcinoma on the Hard Palate. Treatment of this patient received antiemetic, analgesic, antibiotic, vitamin supplementary.
 Prognosis: After treatment, the patient shows great improvement.
 Conclusion: The therapeutic management for malignant tumors of the hard palate is essentially surgical, with or without postoperative radiotherapy, discussed on a case-by-case basis. The survival rate depends on several factors, including early diagnosis, histological characteristics and appropriate management. When ca of the palate is detected primary, the management is very effective.
Highlights
Hard plate cancer is an uncommon malignant tumour
It is important to note that a patient could have one or more of these symptoms and not have hard palate cancer [9]
After diagnosing a patient with hard palate cancer, a doctor will need to determine what type of cancer it is, the grade of the tumour, and the stage of cancer-based on a biopsy or more often by the pathology after surgery [10]
Summary
Hard plate cancer is an uncommon malignant tumour. Etiologic factors dominated by alcohol and tobacco consumption, are similar to those of other oral cavity cancers. Hard palate cancer is a type of head and neck cancer that begins when cells that make up the bony part of the roof of the mouth grow out of control and form lesions or tumours. The surgical treatment of malignant tumours of the hard palate must completely remove, with at least 1 cm margin, all the involved tissues with resection of the mucosa and the underlying bone of the hard palate. Four major means of rehabilitation have been described in the literature It includes dental prosthetic when cancer does not involve more than half the hard palate, mucoperiosteal local flap of palatal island flap, regional flaps by temporalis flap allows immediate reconstruction and can be used to correct unilateral and total defects. Microvascular-free tissue transfer is an option for larger defects [8]
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