In September 2008 the patient noticed a small “bump” in her posterior right palate. This did not cause her any difficulties with swallowing, speech or numbness. The swelling slowly increased in size. In mid October the lesion became progressively larger and darker at the periphery. The center was concave with an ulcerated or granulomatous look and the periphery was rolled. It was painful but still did not interfere with swallowing or speech.