At presentation, the patient complained of pain and difficulty swallowing. Clinical examination revealed a large and diffuse swelling affecting the soft palate and the left tonsil. It was pink-to-red in color and was focally ulcerated. The overlying mucosa was stretched and the blood vessels were prominent in the area of the swelling but indistinct in the surrounding areas (Figure 1). The swelling was described to be 5 x 5 cm in size and was soft.
Figure 1 Photograph is taken at clinical presentation demonstrating a diffuse, mostly superficial red and white lesion on the left ventral and lateral tongue.