History of the present illness

This is a 69-year-old gentleman referred by Medical Teams International for evaluation of a large left maxillary mass (Figure 1).  He reports that the lesion has been present for eight to ten years and occurred just after removal of tooth #16.  The lesion has been slowly growing.  It is not painful and it does not bleed.

Figure 1 This is a clinical photograph taken at the first clinical presentation; note the large exophytic and smooth-surfaced nodule in the left posterior hard palate and soft palate area.  Also note the swelling behind the large nodule on the hard palate which is more diffuse.