A 63-year-old male presents with a painless, rubbery lump in his left hard palate.

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<p>A 63-year-old male presents with a painless, rubbery lump in his left hard palate.</p><p>The lesion has been present for three months.</p><p>He has no significant past medical history, no known allergies, is a non-smoker and consumes one standard alcoholic beverage a day.</p><p>Intraoral examination reveals a 15mmx15mm smooth, rubbery, dome-shaped swelling in the left hard palate, with overlying telangiectasia. There is no regional lymphadenopathy.</p><p>CT and MRI reveal a well-defined, mildly enhancing lesion in the left posterior palate, causing bony scalloping with no extension into the greater palatine canal.</p><p>Biopsy reveals abundant fibrillary stroma with associated epithelial and myoepithelial cells.</p>

Dr Jacinta Vu is an oral medicine specialist and clinical senior lecturer at the University of WA Dental School. She practises in Perth, WA.