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Intravascular papillary endothelial hyperplasia of the palate masquerading as adenoid cystic carcinoma on fine needle aspiration cytology: a potential diagnostic pitfall

A 35-year-old man presented with rapidly progressive symptoms of difficulty in breathing and speech and change in the voice for the past 2 weeks followed by a swelling in the mouth for 2 days. He also gave a history of chewing tobacco for the past 3 years. There was no other significant history. On examination, the swelling was in the oropharyngeal region on the right side of the palate, measured 2 · 2 cm in size and was firm, well defined and non-tender. The overlying mucosa was normal. Fine needle aspiration cytology (FNAC) of the mass was advised.