Structuring a basic surgical skills course in oral and maxillofacial surgery for low income countries (original) (raw)
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Pleomorphic Adenoma of Submandibular Salivary Gland - a Case Report
International Journal of Histopathological Interpretation, 2022
Pleomorphic adenoma is a benign salivary gland neoplasm with its most common site of origin being the parotid gland, usually involving the superficial lobe of the parotid gland. Pleomorphic adenoma is a painless swelling which gradually increases in size if left untreated. It has a female predilection and occurs within the age range of 30-60 years. Here we report a rare case of a pleomorphic adenoma of the right submandibular gland presented by a 33 years old how it was diagnosed using cytology, histopathology and managed by surgical excision have been described.
Pleomorphic adenoma of submandibular gland: A case report with review of literature
Dental research journal, 2014
Neoplasms that arise in the salivary glands are relatively rare, yet they represent a wide variety of both benign and malignant histologic subtypes. Approximately 70% of the salivary gland tumors affect parotid gland with the submandibular gland being affected in 5-10% of the cases, sublingual gland in 1% and minor glands in 5-15% of the cases. Submandibular gland tumors are relatively rare and very few studies have been reported in the literature that is exclusively conducted on tumors affecting submandibular gland. In this paper, we describe a case of pleomorphic adenoma affecting submandibular gland with brief review of current literature on submandibular gland tumors.
European Archives of Oto-Rhino-Laryngology, 2007
We reviewed patients with submandibular gland pleomorphic adenoma treated at a tertiary referral centre in the United Kingdom (1988Kingdom ( -2004. Thirty-seven patients were identiWed, 32 newly diagnosed cases and 5 cases of recurrent disease previously treated elsewhere. The exact pre-operative diagnosis was "unknown" in 76% of the new cases. All cases were surgically excised (41% with extracapsular gland excision and 59% by selective level Ib, IIa and III neck dissection). Temporary marginal mandibular nerve neuropraxia was documented in 25% of cases. All 32 new cases remain clinically tumour free at the time of writing. In patients with recurrent disease, complete microscopic tumour clearance was achieved in three of the Wve cases, however all remain clinically tumour free. Pleomorphic adenomas of the submandibular gland are uncommon, with good prognosis following complete tumour excision. Recurrent tumours, however, are frequently multi-focal and diYcult to excise completely. The adequacy of primary surgery is crucial and supports an approach for a more radical excision primarily by a selective level lb, IIa and III neck dissection; ensuring complete disease clearance for pleomorphic adenoma, avoiding the risks of tumour spillage associated with a limited excision and tumour handling; and removing the primary echelon of lymph nodes at risk of metastasis if the pathology turns out to be malignant.
Pleomorphic Multicentric Adenoma in the Submandibular Gland
Head and Neck Pathology, 2007
Neoplasms of salivary glands represent a small group among the diseases involving the head and neck complex. In this group, the pleomorphic adenoma is the most frequent neoplasm, yet involves the submandibular gland in only 12.3% of cases. A patient presenting a swelling in the region of the submandibular gland was submitted to an incisional biopsy, where a fragment of the gland and one juxtaposed node were removed. Histologically they were defined as pleomorphic adenoma. Later, the patient was submitted to submandibulectomy and two other nodes were found close to the gland and removed. All specimens were histologically defined as pleomorphic adenoma. This multicentric finding is of great interest, perhaps explaining the recurrence rate of this neoplasm. The patient is in continuous follow-up and has not presented signs of recurrence.
Management of Pleomorphic Adenoma of Submandibular Gland: A Rare Case
Advances in Health Sciences Research, 2021
Pleomorphic adenoma is the most common benign tumor in the salivary glands but rarely in the submandibular glands. It is a mass in the submandibular, which is asymptomatic and painless. Excision of the tumor is a treatment that surgeons widely use. The study aimed to describe the management of pleomorphic adenoma of the submandibular gland. A 55-year-old woman with a lump on the left submandibular since 20 years ago. The result of the Fine Needle Aspiration Biopsy (FNAB) revealed a follicular neoplasm and on a neck computed tomography (CT) scan showed a heterogeneous mass on the left cervical with a size of 7x5,3x7 cm. Incision and transcervical excision of the left submandibular were performed. It started with a horizontal incision that ±11 cm long following the size of the tumor and according to the skin line. This incision was made ±3 cm below the left mandibular angle to avoid the marginal mandibular of the facial nerve branch. The histopathological result was a pleomorphic adenoma. The literature and evidence were searched using Medline, PubMed, and hand searching. Excision of the tumor is the appropriate treatment for pleomorphic adenoma and there are several surgical approaches to the submandibular gland, including transcervical, submental, retroauricular, and transoral lateral. The pleomorphic adenoma submandibular gland is a rare case. Excising the whole pleomorphic adenoma of the submandibular gland and its capsule showed a good result.
Pleomorphic Salivary Adenoma of Sublingual Salivary Gland: A Case Report
Journal of Evolution of medical and Dental Sciences, 2014
INTRODUCTION: Pleomorphic adenoma (PA) is rarely seen in the submandibular gland and even more rarely in the sublingual gland. It is characterized by its pleomorphic or mixed appearance with clearly recognizable epithelial tissue intermingled with tissue of mucoid, myxoid and chondroid appearance of glandular origin. We present a case of a pleomorphic adenoma of the sublingual salivary gland, which is quite rare. CASE REPORT: A 23 year old female presented with a painless swelling in the sublingual region for the last 1 year. Clinical examination revealed a 3cm x 4cm swelling in the submandibular region which was firm in consistency with a lobulated surface. FNAC was done from the swelling and it was diagnosed as a case of pleomorphic salivary adenoma. The patient was posted for surgery. After appropriate dissection, the swelling was identified and it was meticulously removed. Histopathological examination confirmed it as a case of pleomorphic salivary adenoma. CONCLUSION: Pleomorph...
Pleomorphic adenoma of an accessory submandibular salivary gland: a rare entity
British Journal of Oral and Maxillofacial Surgery, 2015
An accessory submandibular salivary gland is a rare anatomical variant, and a tumour within one is even rarer. We describe a 54-year-old man who presented with a slowly-enlarging mass in the right submandibular region which on magnetic resonance imaging (MRI) seemed to be close to, but not arising from, the right submandibular salivary gland. This was found to be a benign pleomorphic adenoma arising from an accessory submandibular salivary gland. To our knowledge it is only the second report of a pleomorphic adenoma that developed within an accessory submandibular salivary gland.
Submandibular gland pleomorphic adenoma in a seven-year-old child: a case report
Kulak burun bogaz ihtisas dergisi : KBB = Journal of ear, nose, and throat, 2010
Salivary gland neoplasms are rare in the pediatric age group. Pleomorphic adenomas in the submandibular gland are rarer. In this article, we present a seven-year-old female with a slowly growing mass in her right submandibular area. The firm, mobile and painless mass was about 2x3 cm in size and with bimanual palpation it was indiscriminated from the submandibular gland. Magnetic resonance imaging with contrast revealed a heterogeneous and minimally lobulated mass within the submandibular gland with clearly defined borders. Fine needle aspiration biopsy revealed a diagnosis of pleomorphic adenoma and we performed right submandibular gland excision under general anesthesia. The histopathological diagnosis was pleomorphic adenoma with sparse mitotic figures that may be interpreted as having a potential of malignant transformation. This patient who was followed up for one year without any complication is to our knowledge the youngest case cited in the English-language literature.
Pleomorphic Adenoma of the Sublingual Salivary Gland: An Unusual Diagnostic Challenge
Medical Principles and Practice, 2012
An 80-year-old patient was referred to the Department of Oral and Maxillofacial Surgery, School of Dentistry, Aristotle University of Thessaloniki, Greece, complaining of a painless swelling located in the floor of the mouth, causing minor discomfort. The duration of the swelling was 4 months and it was progressively enlarging. His medical history was free of any local or systemic diseases.