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Pleomorphic adenoma palate: Major tumor in a minor gland.

Sahoo NK, Rangan MN, Gadad RD - Ann Maxillofac Surg (2013)

Bottom Line: Fine needle aspiration cytology (FNAC) was suggestive of PA.Histopathological examination confirmed diagnosis of PA of minor salivary gland.There has been no recurrence of the lesion since 1 year.

View Article: PubMed Central - PubMed

Affiliation: Department of Dental Surgery, Armed Forces Medical College, Pune, Maharashtra, India.

ABSTRACT
Pleomorphic adenoma (PA) is the most common benign mixed salivary gland neoplasm that accounts for 60% of all benign salivary gland tumors. It has diverse histological presentation and occurs in both major and minor salivary glands. PA of minor salivary gland in the palate is a common entity. We report the case of a 45-year-old female who presented with a painless slow growing swelling of palate over the last 20 years. The mass was extending to oropharynx causing mechanical obstruction of airway. Magnetic resonance imaging (MRI) depicted an oval-shaped mass occupying oropharynx and displacing the tongue inferiorly. Fine needle aspiration cytology (FNAC) was suggestive of PA. The entire tumor mass was excised along with overlying mucosa. Histopathological examination confirmed diagnosis of PA of minor salivary gland. There has been no recurrence of the lesion since 1 year.

No MeSH data available.


Related in: MedlinePlus

Clinical presentation of the tumor
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Figure 1: Clinical presentation of the tumor

Mentions: A 45-year-old female presented with a slow growing swelling, of approximately 20 years duration involving her hard and soft palate junction on the left side, which was peanut sized when she first observed. The lesion always had been asymptomatic, with no associated pain or paresthesia. The patient's medical history was noncontributory. She had no known allergies and had not undergone any surgeries of head and neck. She had no complaints of pharyngeal or airway obstruction. General physical examination revealed a well oriented and moderately built individual with no signs of any systemic illness. The patient presented a typical ‘hot potato in mouth’ speech. The clinical examination revealed nonulcerated, dome-shaped, palatal swelling on her hard and soft palate junction, crossing the midline [Figure 1]. The mass had a bosselated surface and overlying mucosa was cherry red and stretched. The lesion was multinodular, firm, and nontender on palpation. Magnetic resonance imaging (MRI) report revealed a well-defined, multilobulated mass measuring 3.2 × 5.5 × 6.3 cm Antero-Posterior × Transverse × Cranio-Caudal (AP × TR × CC) and is hypointense on T1W1 and heterogeneously hyperintense on T2W1 with multiple well-defined areas of low cellularity within. The mass had well-enhanced soft tissue density without any invasion to adjacent tissues, displacing posterior third of the tongue downward [Figure 2].


Pleomorphic adenoma palate: Major tumor in a minor gland.

Sahoo NK, Rangan MN, Gadad RD - Ann Maxillofac Surg (2013)

Clinical presentation of the tumor
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3814672&req=5

Figure 1: Clinical presentation of the tumor
Mentions: A 45-year-old female presented with a slow growing swelling, of approximately 20 years duration involving her hard and soft palate junction on the left side, which was peanut sized when she first observed. The lesion always had been asymptomatic, with no associated pain or paresthesia. The patient's medical history was noncontributory. She had no known allergies and had not undergone any surgeries of head and neck. She had no complaints of pharyngeal or airway obstruction. General physical examination revealed a well oriented and moderately built individual with no signs of any systemic illness. The patient presented a typical ‘hot potato in mouth’ speech. The clinical examination revealed nonulcerated, dome-shaped, palatal swelling on her hard and soft palate junction, crossing the midline [Figure 1]. The mass had a bosselated surface and overlying mucosa was cherry red and stretched. The lesion was multinodular, firm, and nontender on palpation. Magnetic resonance imaging (MRI) report revealed a well-defined, multilobulated mass measuring 3.2 × 5.5 × 6.3 cm Antero-Posterior × Transverse × Cranio-Caudal (AP × TR × CC) and is hypointense on T1W1 and heterogeneously hyperintense on T2W1 with multiple well-defined areas of low cellularity within. The mass had well-enhanced soft tissue density without any invasion to adjacent tissues, displacing posterior third of the tongue downward [Figure 2].

Bottom Line: Fine needle aspiration cytology (FNAC) was suggestive of PA.Histopathological examination confirmed diagnosis of PA of minor salivary gland.There has been no recurrence of the lesion since 1 year.

View Article: PubMed Central - PubMed

Affiliation: Department of Dental Surgery, Armed Forces Medical College, Pune, Maharashtra, India.

ABSTRACT
Pleomorphic adenoma (PA) is the most common benign mixed salivary gland neoplasm that accounts for 60% of all benign salivary gland tumors. It has diverse histological presentation and occurs in both major and minor salivary glands. PA of minor salivary gland in the palate is a common entity. We report the case of a 45-year-old female who presented with a painless slow growing swelling of palate over the last 20 years. The mass was extending to oropharynx causing mechanical obstruction of airway. Magnetic resonance imaging (MRI) depicted an oval-shaped mass occupying oropharynx and displacing the tongue inferiorly. Fine needle aspiration cytology (FNAC) was suggestive of PA. The entire tumor mass was excised along with overlying mucosa. Histopathological examination confirmed diagnosis of PA of minor salivary gland. There has been no recurrence of the lesion since 1 year.

No MeSH data available.


Related in: MedlinePlus