Abstract
A 65-year-old male patient presented for dental care reporting a "lump in the roof of the mouth for years." On physical examination, a papular lesion was observed in the transition region of the hard and soft palate, on the left side, measuring about 5 × 5 mm, with a similar color to the mucosa and floating consistency on palpation. In the anamnesis, the patient reported more than a 5-year evolution time, painless, no harmful habits, and no systemic changes. There was no radiographic alteration. Thus, the diagnostic hypotheses were aimed at benign/proliferative lesions. An excisional biopsy was performed, and the histopathologic report showed low-grade mucoepidermoid carcinoma (MEC). As treatment, an excisional biopsy was considered, and the patient continues to be monitored by the head and neck surgeon. MEC is an aggressive malignant lesion and should be considered in conjunction with the diagnosis of benign/proliferative lesions of the salivary glands, especially on the palate.
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