This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
[{'content': 'All are true about carcinoma palate, except - \nSelect and explain. \nA. Slow growing, B. Bilateral lymphatic spread, C. Adenocarcinoma, D. Presents with pain', 'role': 'user'}, {'content': "Answer: D \nExplanation: Carcinoma of the hard pate is either squamous or glandular variety.\nGlandular variety arises from minor salivary glands and it can be of following varieties.\n\na) Adenoid Cystic\xa0\nb) Mucoepidermoid\nc) Adenocarcinoma (a common site for minor salivary gland tumours is the junction of the hard and soft palate)\nClinical features -\n\nIt is a slow-growing tumor and remains superficial for prolonged periods before extending into the periosteum\nIt usually presents as a superficial ulcer with rolled out edges.\nIt usually gives no symptoms except painless irregularity on the palate felt by the tongue.\nLymphatic metastasis is not common may spread to submandibular and upper jugular node\nT/T → Small tumors → Local excision (most commonly along with bone because of close adherence of the mucosa to the palate)\nLarge tumors → Maxillectomy Adjuvant radiotherapy is given for advanced lesions.\n\nAbout option 'b' i.e. Bilateral lymphatic spread\nBilateral lymphatic spread is common in following tumors of the head & neck\n\nlower lip\nsupraglottis\nthe base of tongue &\nsoft palate", 'role': 'assistant'}]