Abstract
Woman, 63, complained of a “wart in the palate” that had developed over 6 months. It was asymptomatic, of normal color, had well-defined edges, and was situated near the median suture. The presumptive diagnosis was mucocele or a minor salivary gland tumor. Histopathological analysis identified adenoid cystic carcinoma. Microscopic analysis revealed numerous hyperchromatic, cuboidal epithelial cells with scanty and clear cytoplasm. Perineural infiltration was scarce. Adjacent to it was a dilated duct with mucus inside that suggested a mucous retention cyst. These cells were arranged in small strands and nests, with tubular and ductal aspects. The patient was treated surgically. This case emphasizes the importance of biopsy in identifying tumors associated with mucocele.
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