Pleomorphic Adenoma of the Base of the Tongue––A Case Report

Ghosh, S.; Saha, Jayanta; Chandra, Sudipta; Datta, Suvro Sankha

doi:10.1007/s12070-011-0136-7

Cited by 10 publications

(8 citation statements)

References 5 publications

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“…The unusual sites are sinuses, larynx, epiglottis, and trachea. PAs have also been reported in tongue [9], soft palate [10], vulva [11] and even external auditory canal [12]. The smaller the salivary gland that is affected, the more likely it is to trigger a malignant tumor.…”

Section: Discussionmentioning

confidence: 99%

Pleomorphic Adenoma of Soft Palate: Unusual Occurrence of the Major Tumor in Minor Salivary Gland—A Case Report and Literature Review

Passi¹,

Ram

Dutta³

et al. 2015

J. Maxillofac. Oral Surg.

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Salivary gland tumours constitute about less than 4 % of all head and neck tumours. Pleomorphic adenoma, also called benign mixed tumour, is the most common tumour of the salivary glands. About 80-90 % of these tumours occur in the major salivary glands mainly parotid gland and 10 % of them occur in the minor salivary glands. The most common site for pleomorphic adenoma of the minor salivary glands is the palate, followed by the lips and the cheeks. Other rare sites include the floor of the mouth, tongue, tonsil, pharynx, retromolar area and the nasal cavity. Here, we are reporting a case of pleomorphic adenoma of the minor salivary glands of the soft palate in a 36-year-old Indian female. The mass was removed by wide local excision with adequate margins under general anesthesia. There was no recurrence seen after a follow-up period of 1 year.

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Section: Discussionmentioning

confidence: 99%

Pleomorphic Adenoma of Soft Palate: Unusual Occurrence of the Major Tumor in Minor Salivary Gland—A Case Report and Literature Review

Passi¹,

Ram

Dutta³

et al. 2015

J. Maxillofac. Oral Surg.

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“…[4] The unusual sites are sinuses, larynx epiglottis, and trachea. PAs have also been reported in tongue,[5] soft palate,[3] uvula,[6] and even external auditory canal. [7] Though the case we presented is not a rare one, these kinds of tumor are most often malignant and are often misdiagnosed.…”

Section: Discussionmentioning

confidence: 99%

Pleomorphic adenoma palate: Major tumor in a minor gland

Sahoo

Rangan

Gadad

2013

Ann Maxillofac Surg

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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.

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“…Tumors of the salivary glands comprise 3% of all neoplasms. 4 The incidence of salivary gland neoplasms in minor glands varies from 9 to 22%. Approximately 8% of pleomorphic adenomas involve the minor salivary glands.…”

Section: Discussionmentioning

confidence: 99%

“… 2 Dysphagia is the most frequent initial symptom, and some of the tumors are detected on routine physical examinations by general practitioners. 3 4 …”

Section: Discussionmentioning

confidence: 99%

“… 1 2 3 Adenoid cystic carcinoma is the most common malignant tumor of this region, including the tongue. 4 The literature indicates an overall ratio of ∼1:6 for benign/malignant lingual salivary gland tumors. 2 More than 74% of the cases of pleomorphic adenoma arise in the major salivary gland, 3 and it is predominantly found in the parotid gland.…”

Section: Introductionmentioning

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 the Base of the Tongue––A Case Report

Abstract: Pleomorphic adenoma of the base of the tongue is a rare tumour. A case of a 40-year-old female with pleomorphic adenoma of the tongue base is reported here, with a review of the literature. Complete excision of the mass was done transorally under general anaesthesia.

Cited by 10 publications

References 5 publications

Pleomorphic Adenoma of Soft Palate: Unusual Occurrence of the Major Tumor in Minor Salivary Gland—A Case Report and Literature Review

Pleomorphic Adenoma of Soft Palate: Unusual Occurrence of the Major Tumor in Minor Salivary Gland—A Case Report and Literature Review

Pleomorphic adenoma palate: Major tumor in a minor gland

Pleomorphic Adenoma of the Tongue Base: Case Report and Review

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