History of the present illness

This is an 88-year-old white female whose chief complaint was a progressively enlarging swelling of the left soft palate and tonsil. It was large, around 5 x 5 cm in size; pink-to-red in color; and focally ulcerated (Figure 1). She complained of pain and difficulty swallowing. The lesion is of six months’ duration.

Figure 1 This photograph was taken at the first clinical presentation; note the large ulcerated swelling involving most of the left soft palate and left tonsil.