Pathology · single question

A small, well-circumscribed lesion is located at the junction of the hard and soft palate. What is the most likely diagnosis?

  1. Granular cell tumor
  2. Pleomorphic adenoma
  3. Central giant cell granuloma
  4. Incisive canal cyst
Show answer and explanation

Correct answer: B. Pleomorphic adenoma

  • A. ❌ Granular cell tumors are most common on the tongue and present as yellow-white nodules.
  • B. ✅ Correct. A lesion at the hard-soft palate junction should raise suspicion for PLEOMORPHIC ADENOMA or other minor salivary gland tumor. The posterior lateral hard palate / hard-soft palate junction is a common site for minor salivary gland neoplasms.
  • C. ❌ Central giant cell granuloma is an intraosseous jaw lesion, not a soft tissue palatal lesion.
  • D. ❌ Incisive canal cysts are at the anterior hard palate (incisive papilla area) — not the hard-soft palate junction.

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