History of the present illness

This is a 51-year-old male who presented with a smooth-surfaced, focally ulcerated, grey-blue, firm nodule on the hard palate (Figure 1). It is described as slow growing. It is around two cm in diameter at its greatest dimension. The swelling is ulcerated but otherwise not painful.

Figure 1 This photograph is taken at first clinical presentation and demonstrates a well-demarcated, exophytic, grey-blue nodule with ulcerated surface in the mid/lateral hard palate.