Pleomorphic adenoma presenting as a base of tongue mass

Abstract

A rare case of pleomorphic adenoma of the base of the tongue with a relevant review of literature is reported.

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

“…But this would put the inferior alveolar nerve in jeopardy and risk of osteoradionecrosis if radiation is planned to this site. In a case report by Gupta et al [5], a 2.5 × 1.75 cm pleomorphic adenoma of the base of tongue was excised through a lateral pharyngotomy approach. The patient was decannulated on the 10th day.…”

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

“…The cells of origin are the myoepithelial cells and intercalated duct cells. Most of the studies indicate that the malignant lesions of the minor salivary glands are more common and the majority of the lesions involving the base of tongue are also malignant [5]. The diagnosis of these tumours is made on the basis of histopathological features.…”

“…Most of the studies indicate an overall ratio of approximately 1:6 for the benign/malignant lingual salivary gland tumours. In tongue the most common benign tumour is the pleomorphic adenoma whereas adenoid cystic carcinoma is the most common malignant tumour reported [5].…”

Pleomorphic adenoma of the base tongue

“…In patients with intact dentition, a tooth should be extracted and the mandibulotomy performed through the middle of the tooth socket. A tracheostomy [5] is advised if the tumor is large or if chances of bleeding endangering respiration are anticipated.…”