History of the present illness

This is a 58-year-old white female with a small and slightly raised swelling on the posterior hard palate of two months' duration (Figure 1). The swelling is asymptomatic and is soft in consistency with an intact mucosa; it is 1 x 1 cm at its greatest dimensions. It is pink to focally light blue. This patient has palatal torus that has been present for many years; this lesion is to the right of the palatal torus.

Figure 1 This photograph was taken at the first clinical presentation; note the swelling on the right and lateral posterior hard palate; right of the torus palatinus. The swelling is focally light blue in color and the overlying mucosa is intact.