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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

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Figure 7: The specimen being weighed

Mentions: FNA biopsy was performed, which was suggestive of PA. All preoperative blood and urine investigations were done, which were within normal limits. The patient was intubated through endotracheal tube by fiber-optic guidance and was operated for wide local excision of the mass and primary closure of adjacent mucosa. The excised mass was 7 × 6 cm [Figure 3]. Following excision of tumor, surgical wound [Figure 4] was closed in layers in a tension-free water tight fashion [Figure 5]. The excised mass was sent for histopathological examination, which revealed stratified squamous epithelium covering connective tissue and underlying connective tissue showed the cells arranged in sheets and duct-like pattern with a mucoid background [Figure 6]. This was confirmatory of PA. The specimen was weighed 95g [Figure 7]. The patient's postoperative course was uneventful. The healing was satisfactory. No recurrence was observed after a follow-up period of 1 year [Figure 8].


Pleomorphic adenoma palate: Major tumor in a minor gland.

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

The specimen being weighed
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 7: The specimen being weighed
Mentions: FNA biopsy was performed, which was suggestive of PA. All preoperative blood and urine investigations were done, which were within normal limits. The patient was intubated through endotracheal tube by fiber-optic guidance and was operated for wide local excision of the mass and primary closure of adjacent mucosa. The excised mass was 7 × 6 cm [Figure 3]. Following excision of tumor, surgical wound [Figure 4] was closed in layers in a tension-free water tight fashion [Figure 5]. The excised mass was sent for histopathological examination, which revealed stratified squamous epithelium covering connective tissue and underlying connective tissue showed the cells arranged in sheets and duct-like pattern with a mucoid background [Figure 6]. This was confirmatory of PA. The specimen was weighed 95g [Figure 7]. The patient's postoperative course was uneventful. The healing was satisfactory. No recurrence was observed after a follow-up period of 1 year [Figure 8].

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