Mucoepidermoid Carcinoma Ex Pleomorphic Adenoma of Lacrimal Gland: Case Report and Review of Literature

Khademi, Behzad; Zia, Zahra; Kohandel-Shirazi, Mahsa

doi:10.1097/iop.0000000000002258

Cited by 1 publication

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References 13 publications

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“…In 2015, a rare tumor was discovered in a 26-year-old man’s alveolar ridge and retromolar trigone 15 . Furthermore, there were three reported cases of lacrimal gland involvement 16 – 18 . A majority of the cases showed the presence of a high-grade tumor, indicating the need for a combination of treatment modalities 2 , 3 , 6 – 9 .…”

Section: Discussionmentioning

confidence: 99%

Medium-sized buccal mucosa defect reconstruction with buccal advancement flap in mucoepidermoid carcinoma ex pleomorphic adenoma: a case report

Srivanitchapoom,

Yata

2023

Annals of Medicine &Amp; Surgery

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Introduction and importance: Mucoepidermoid carcinoma (MEC) ex pleomorphic adenoma is a rare type of salivary gland cancer. Surgical resection remains the standard therapy for this malignancy. After tumor removal, larger defects may require a local, regional, or free flap, while smaller ones can be closed primarily. Managing medium-sized defects can be challenging, especially on the buccal mucosa. Presentation of case: A 47-year-old man had a buccal mucosa mass for 10 years, which gradually grew over a year and irritated his chewing. A 2.2 ×2 cms buccal mass was observed with telangiectatic and erythematous alterations in the surrounding mucosa. The pre-operative tissue biopsy suggested salivary gland malignancy. The patient underwent surgical excision and a single-stage buccal advancement flap reconstruction, successfully closing the 4 cm defect. The final diagnosis was MEC ex pleomorphic adenoma. He reported mild discomfort during the first few months while opening his mouth. The patient had fully recovered after six months. Clinical discussion: This is the first case of MEC arising in a pleomorphic adenoma of the buccal mucosa. For low-grade and small-sized tumors, a single modality is appropriate for treatment. Local flaps such as buccal fat pad or musculomucosal flap can repair medium-sized defects. However, the buccal advancement flap provides effective functional and aesthetic benefits, optimal healing conditions, and reduces complications risk. Conclusion: The buccal advancement flap is a valuable option for reconstructing medium-sized buccal defects up to 4 cm. The single-stage surgical procedure has been proven to yield minimal complications and provide a favorable outcome.

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Section: Discussionmentioning

confidence: 99%

Medium-sized buccal mucosa defect reconstruction with buccal advancement flap in mucoepidermoid carcinoma ex pleomorphic adenoma: a case report

Srivanitchapoom,

Yata

2023

Annals of Medicine &Amp; Surgery

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Mucoepidermoid Carcinoma Ex Pleomorphic Adenoma of Lacrimal Gland: Case Report and Review of Literature

Abstract: Case ReportsFIG. 1. A, Preoperative clinical photo. B, Lacrimal mass. C, Postoperative clinical photo. D, Axial CT scan shows lacrimal gland mass with adjacent bone remodeling. E, Axial T2 sequence. Heterogeneous iso/hyperintense lacrimal gland mass with indentation of right globe.

Cited by 1 publication

References 13 publications

Medium-sized buccal mucosa defect reconstruction with buccal advancement flap in mucoepidermoid carcinoma ex pleomorphic adenoma: a case report

Medium-sized buccal mucosa defect reconstruction with buccal advancement flap in mucoepidermoid carcinoma ex pleomorphic adenoma: a case report

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