Pleomorphic Adenoma of Base of Tongue: Is Midline Mandibulotomy Necessary for Approaching Benign Base Tongue Lesions?

Bansal, Sandeep; Kalsotra, Gopika; Mohammed, Abdul; Bahl, Amanjit; Gupta, Ashok

doi:10.1155/2012/851501

Cited by 6 publications

(6 citation statements)

References 6 publications

(9 reference statements)

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“…Use of carbon dioxide laser is becoming more widespread for resection. Recurrence is uncommon and may be attributed to partial excision or a multifocal origin of the tumor [ 8 , 9 ]. Some studies report a recurrence rate of 6% in patients with benign minor salivary gland tumors [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

‘Pleomorphic adenoma of the tongue: A common entity at the uncommon location’

Chhabra

Bhutani

Jain

et al. 2019

Annals of Medicine and Surgery

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The salivary gland tumors comprise of 3% of head and neck tumors. Pleomorphic adenoma, also known as mixed tumor, is the most common benign neoplasm of the major and minor salivary glands. The occurrence of pleomorphic adenoma of the tongue is very rare, and very few cases have been reported in the literature. A 41-year-old male presented with swelling on tongue. Cytological and histological examination revealed pleomorphic adenoma. Complete excision of the mass was done transorally under general anaesthesia. High index of suspicion and an adequate clearance of the tumor with a cuff of surrounding dispensable normal tissues is the key to successful treatment of such tumors. The authors consider the rarity of this case and present a rare case of pleomorphic adenoma of the tongue.

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Section: Discussionmentioning

confidence: 99%

‘Pleomorphic adenoma of the tongue: A common entity at the uncommon location’

Chhabra

Bhutani

Jain

et al. 2019

Annals of Medicine and Surgery

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“…The most frequent site for pleomorphic adenomas of minor salivary glands is the palate (50%), followed by the upper lip [3]. In contrast, pleomorphic adenoma rarely arises from the tongue base and only 13 cases have been reported previously (Table 1) [2,[4][5][6][7][8][9][10][11][12][13][14][15]. Surgery is the accepted treatment for pleomorphic adenoma and the tumor was subjected to surgical resection in all of the previous reported cases.…”

Section: Discussionmentioning

confidence: 99%

Pleomorphic Adenoma of the Tongue Base: A Case Report

Kitano¹

2018

JHNSS

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An 86-year-old woman underwent bronchoscopy after developing aspiration pneumonia. She was found to have a tumor of the tongue base and was referred to our department. Fiberscopy revealed a pendulous mass at the tongue base. On computed tomography, a smooth pendulous mass (2cm × 1.7cm) was seen at the base of the tongue, with no deep invasion. The biopsy report indicated possible mucoepidermoid carcinoma. The risk of surgery was high due to her age and co-morbidities, so the patient and her family did not agree to resection of the tumor. Aspiration pneumonia recurred several times over several months, after which she could not take anything orally and became bedridden for weeks. To improve her quality of life by minimally invasive surgery, the tumor was excised transorally under general anesthesia. The pathological diagnosis was pleomorphic adenoma, and the surgical margins were negative. The patient's postoperative course was good. Pleomorphic adenoma often arises from the major salivary glands, especially the parotid gland, but pleomorphic adenoma of the tongue base is rare. This case is reported along with a review of the literature.

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“…The majority involve the palate, followed by the lips and maxillary sinus. 1 3 5 Involvement of the base of the tongue is rare. 1 2 Malignant tumors such as adenocarcinoma, adenoid cystic carcinoma, and mucoepidermoid carcinoma involve the tongue more frequently.…”

Section: Discussionmentioning

confidence: 99%

“…Transpharyngeal can be either suprahyoid or transhyoid pharyngotomy or by lateral pharyngotomy. 5 When the tumor is malignant with extensive invasions into surrounding tissues, the latter two approaches are recommended. 3 …”

Section: Discussionmentioning

confidence: 99%

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Pleomorphic Adenoma of the Tongue Base: Case Report and Review

Nascimento

Vilela

2013

Int. Arch. Otorhinolaryngol.

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Introduction Pleomorphic adenoma, also known as mixed tumor, is the most common benign tumor of the major and minor salivary glands. The occurrence of pleomorphic adenoma of the tongue base is very rare, and very few cases have been reported in the literature. Objective The authors present a rare case of pleomorphic adenoma of the tongue base and a review of the literature. Case Report A 55-year-old woman had an extensive cervical mass, with little pain, from the submental level to the level below the hyoid bone. Fiberoptic endoscopic examination showed an extensive mass at the base of the tongue with considerable reduction in the airway. Magnetic resonance image scan revealed a contrast-enhancing mass of heterogeneous density over the base of the tongue of 8 × 8 × 7 cm and a reduction of the hypopharyngeal airway. Biopsy of the lesion was performed along with a tracheostomy due to the bulging tongue base and acute respiratory failure. Histologic examination with an immunohistochemistry study revealed a diagnosis of pleomorphic adenoma. The excision of the tumor was performed by a lateral pharyngotomy approach and the total mass was excised. Conclusion The authors consider the rarity of this case and show that this is the 11th and the largest pleomorphic adenoma reported in the English-language medical literature.

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Pleomorphic Adenoma of Base of Tongue: Is Midline Mandibulotomy Necessary for Approaching Benign Base Tongue Lesions?

Cited by 6 publications

References 6 publications

‘Pleomorphic adenoma of the tongue: A common entity at the uncommon location’

‘Pleomorphic adenoma of the tongue: A common entity at the uncommon location’

Pleomorphic Adenoma of the Tongue Base: A Case Report

Pleomorphic Adenoma of the Tongue Base: Case Report and Review

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