Benign lesions originating in the oral cavity include minor salivary gland followed by nerve sheath tumors, as well as non-neoplastic lesions such as granular cell tumor, fibroepithelial polyps, and mucoceles.1 These must be differentiated from malignant neoplasms of epithelial, glandular, hematopoietic, and mesenchymal origin, as well as neural-based tumors such as malignant schwannoma. Notably, malignancies are relatively rare in the hard palate except in patients of East Asian origin, among whom the habit of reverse smoking greatly increases the incidence of primary squamous cell carcinoma.2 The differential diagnosis of a benign neural tumor of the hard palate includes traumatic neuroma, schwannoma, neurofibroma, and mucosal neuromas representing multiple endocrine neoplasia type 3. Among these the schwannoma, or neurilemmoma, is unique in that it is composed primarily of a distinct pattern of neoplastic Schwann cells. In contrast, the traumatic neuroma is a non-neoplastic reactive process of hyperplastic axons and Schwann cells, and neurofibromas contain varying arrangements of Schwann cells, perineural cells, and collagen.3