A rare case of @entity1962 in a 74 year-old @entity1 is reported. Presenting as a nodule on the soft palate, diagnosis was prolonged because of the benign macroscopic aspect. CT-scan and MR-tomography showed an encapsulated lesion but biopsy and histologic examination revealed the typical features of @entity1962 . The @entity5 consisted of @entity420 and @entity957 in close proximity to minor salivary glands of which the @entity5 seemed to have its origin. This entity, although rare in the head and neck region has been documented to be @entity146 with early regional and hematogenic @entity3 . Therefore it has to be distinguished from other @entity5 , especially from @entity3975 of the salivary glands, which have a better prognosis. @entity1962 is considered to have poor radiosensitivity and chemotherapeutic approaches have also not been successful in the literature. In our case radical surgical therapy was performed by excision of the whole soft palate and bilateral neck dissection. This resulted in total @entity5 but revealed bilateral lymph node @entity3 . Vital functions were saved by reconstruction of the palate with a free vascularized tensor-fasciae-latae-perforator-flap. For the first time in a case of @entity1962 carcinoembryonic antigen in serum was monitored. A pretherapeutical 29-fold elevation resulted in a marked decrease after surgery, but supranormal values indicated remaining @entity5 burden which was found in @entity3 in the lung. Because of the limitations in therapy, early histologic diagnosis is most important in this highly malignant @entity5 .

[ XXXX of the palate].

@entity1 :: ('9606', 'Species') :: ['man'] @entity146 :: ('MESH:D001523', 'Disease') :: ['very aggressive'] @entity5 :: ('MESH:D009369', 'Disease') :: ['removal of the tumour', 'tumours', 'tumour'] @entity3975 :: ('MESH:D018277', 'Disease') :: ['mucoepidermoid carcinomas'] @entity957 :: ('MESH:D002294', 'Disease') :: ['squamous cell carcinoma'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastasis', 'metastases'] @entity1962 :: ('MESH:D018196', 'Disease') :: ['adenosquamous carcinoma', 'Adenosquamous carcinoma'] @entity420 :: ('MESH:D000230', 'Disease') :: ['adenocarcinoma']
@entity1962 :: (MESH:D018196,Disease) :: ['Adenosquamous carcinoma']
