Table 1 Timeline of the case
Initial presentation | A 34-year-old female presented to the otorhinolaryngology department with complaints of palatal growth, sporadic pain, and bleeding. |
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Day 1: clinical examination | Examination revealed a 2 × 2 cm ulcerative lesion on the soft palate, covered by a pseudomembrane. No palpable lymph nodes or other abnormalities. |
Day 2: initial management | Patient was prescribed oral antibiotics (ciprofloxacin) and tranexamic acid to manage sporadic bleeding. |
Within 1 week: baseline investigations | Baseline investigations were advised and reviewed before proceeding with further interventions. |
Excisional biopsy (scheduled) | Excisional biopsy of the lesion was performed under general anesthesia. The resected specimen was sent for histopathological evaluation. |
Histopathological evaluation | Specimen revealed large polygonal clear cells with vesicular nuclei, and the immunohistochemistry confirmed clear-cell carcinoma (CCC). |
Postsurgical follow-up (1 week) | Follow-up examination postsurgery showed no signs of complications, with the healing process being normal. |
Postsurgical follow-up (1 month) | No signs of recurrence were observed during a routine follow-up visit. |
Long-term follow-up (1 year and 8 months) | Regular follow-ups continued, with no evidence of local recurrence or metastasis during this period. |