The commonest sites for intraoral pa are palate, buccal. This case report describes a case of mixed tumor in a minor salivary gland of the hard palate. The treatment of pleomorphic adenoma of the hard palate is surgical excision with a surrounding cuff of normal tissue. Pleomorphic adenoma is a benign neoplasm which is commonly encountered in the parotid gland and other major salivary glands. We present the case report of pleomorphic adenoma located on the palate of a 10 year old. The palate is the most common site for minor gland mixed tumor. At times they can also develop in minor salivary glands of the palate. For lesions located superficially in the parotid gland, superficial parotidectomy identifying and preserving the facial nerve is necessary. Pleomorphic adenoma may show various architectural and cytologic features that resemble other salivary tumors identifying areas typical of pleomorphic adenoma with triphasic ductal, myoepithelial and stromal components is helpful to establish the diagnosis squamous cell carcinoma. A case report saavi,1 himanshu punia 2 reader,1 post graduate student 2 1. The majority of minor salivary gland tumors are malignant. Friedlander on pathophysiology of pleomorphic adenoma. The most common site of a pleomorphic adenoma of the minor salivary glands is the palate, followed by lip, buccal mucosa, floor of mouth, tongue, tonsil, pharynx, retromolar area and nasal cavity. Here, we are reporting a case of pleomorphic adenoma of the minor salivary glands of the soft palate in a 36yearold indian female.
When salivary gland tumors do arise in children, they preferentially affect major salivary glands, but minor salivary gland tumors have also been. Pleomorphic adenoma symptoms, causes, treatment, surgery. Although the pleomorphic adenoma is normally benign it does have the potential to become cancerous, also referred to as malignant. Thin alloderm may be placed over the soft palate to reduce contraction of the palate. We report a case of a pleomorphic adenoma, which occurred in the hard and soft palate of a 34yearold female and presented as an asymptomatic slow growing, painless mass.
There is an ovoid soft tissue mass arising from the posterior soft palate with clear margins. Pleomorphic adenoma surgery, symptoms, causes, treatment. Pleomorphic adenoma, or benign mixed tumor, is the most common tumor of the parotid gland and represents 70% of all parotid neoplasms. Approximately 10% of pleomorphic adenomas occur in the minor salivary glands with the palate being the most common site. Pleomorphic adenoma pa is the most common salivary gland tumor, accounting for about 4070% of all major and minor salivary gland tumors. This paper describes a case of a pleomorphic adenoma of the hard palate, which was diagnosed in a 46yearold female patient. An obturator is created for support of the reconstruction. The palate appears to be the most commonly involved site.
Benign tumors at this site are more common then malignant ones. Pleomorphic adenoma of the soft palate radiology case. She gave the history that the swelling had been there for 3 years, but grew quite rapidly in the past 3 months. A case report of 28 year old male patient diagnosed of pleomorphic adenoma of palate, is presented here. Pediatric palatal mass pleomorphic adenoma iowa head and. Over 84% of pleomorphic adenomas occur in the parotid gland, 8% occur in the submandibular gland, and 6.
Pleomorphic adenoma of minor salivary glands of hard palate is a rare benign tumour. It has a diverse histological presentation and occurs in. Pleomorphic adenoma benign mixed tumour of the salivary glands. Pleomorphic adenoma is a benign mixed tumour composed of various morphological patterns of epithelial and myoepithelial cells component, demarcated from surrounding tissues by fibrous capsule. A very close followup is necessary to detect recur rences, which can appear years after the occurrence of the primary lesion. Doctor answers on symptoms, diagnosis, treatment, and more. Outside of the central nervous system, a higher incidence of renal angiomyolipomas has been described in patients with tuberous sclerosis. The purpose of this study was to collect observational data regarding age, size, symptoms, ct findings and treatment of pleomorphic adenoma of hard palate. Palatal pa presents clinically as a painless, slowgrowing mass found on posterior lateral aspect.
Palatal pleomorphic adenoma in a pediatric patient. Pleomorphic adenoma pa, the most common of the benign salivary gland tumors, is an extremely rare entity in children before the age of 14 years. Pleomorphic adenoma is a benign neoplasm consisting of cells exhibiting the ability to differentiate to epithelial and mesenchymal cells. Pathophysiology of pleomorphic adenoma doctor answers. Pleomorphic adenoma is the most common benign tumor affecting the major salivary glands and infrequently arises from the minor salivary. It accounts for 7080% of all benign parotid tumors. Other rare sites include the floor of the mouth, tongue, tonsil, pharynx, retromolar area and the nasal cavity. Salivary gland tumors are rare and account for 23% of tumors occurring in the head and neck. Oct 30, 2012 pleomorphic adenoma of minor salivary glands of hard palate is a rare benign tumour. It progresses slowly and, left untreated, can produce signi. Salivary gland tumors are rare in children and the incidence differs from the adult counterpart. Most of them are benign and pleomorphic adenoma is the commonest among them that involves both major 90% and minor 10% salivary glands.
An early diagnosis is important to al low appropriate treatment and to limit the surgical procedures. It usually presents as slow growing submucosal mass on hard palate. Excisional biopsy of the lesion followed by histopathologic examination. In the early stages a pleomorphic adenoma is usually painless but as they start to grow larger these tumors can start to cause complication in your ears or mouth. Pleomorphic adenoma of the palate in a child med oral patol oral. The most frequent benign tumor is the pleomorphic adenoma. These tumors usually do not recur after adequate surgical excision. Pleomorphic adenoma usually develops as a nontender nodular lesion with a slow growth rate persisting for years. Soft palate pleomorphic adenoma of a minor salivary gland.
The smaller the salivary gland that is affected, the more likely it. Intraoral examination revealed a soft tissue mass 1. Pleomorphic adenoma of buccal minor salivary gland. Pleomorphic adenomas account for the majority of palatal tumours. There is heterogenous signal intensity within the lesion on t2 weighted imaging, with prominent areas of signal hyperintensity. Pleomorphic adenoma of palate international journal of oral. Avitene was used to cover the bone of the hard palate and close the greater and lesser palatine foramen. Pleomorphic adenoma is the most common salivary gland tumor and accounts for approximately 80% of parotid tumors. The mass was removed by wide local excision with adequate margins under general anesthesia. It is found mostly in the parotid gland in middleaged women. Intraoral pleomorphic adenoma is an uncommon benign tumor arising from the minor salivary gland.
Pictures of pleomorphic adenoma benign mixed tumor of. Issue 3 july sept 2014 128 pleomorphic adenoma of the palate. Treatment consists of surgical excision down to the underlying periosteum. Pleomorphic adenoma appears as a painless firm mass and, in most cases, does not cause ulceration of the overlying mucosa.
Pleomorphic adenoma of minor salivary gland of hard palate is a rare benign tumor. Pleomorphic adenoma with extensive ossified and calcified. The topic pleomorphic adenoma of palate you are seeking is a synonym, or alternative name, or is closely related to the medical condition intraoral pleomorphic adenoma. The commonest sites for intraoral pa are palate, buccal mucosa and lips. Pleomorphic adenoma of the hard palate kaur s, thami gp. We report a case of palatal pleomorphic adenoma in a 24 yearold adult female came to our college with the chief complaint of a swelling at the left side of the palate. We report 3 cases of pleomorphic adenoma of the minor salivary gland of the palate. Seventy percent of the tumors of the minor salivary glands are pleomorphic adenomas, and the most common intraoral site is the palate, followed by the upper lip and buccal mucosa. Pleomorphic adenoma an overview sciencedirect topics. Around 7080 percent of pleomorphic adenoma occur in the superficial lobe of the parotid gland, although the lesion may occur in any area of the parotid gland. Benign slow growing painless swelling since 3 years. In summary, we presented a case of benign pa arising in the parapharyngeal space with extensive ossified and calcified degeneration and its ct findings. The aim of the article is to present a case of palatal pa, with a focus on the differential diagnosis and various aids of diagnosis and its successful treatment by surgical excision.
Radiologists should be familiar with the different appearances, and this case emphasizes the wide spectrum of radiographic presentations of pa. Pleomorphic adenoma of the hard palate scienceforecast. Keywords palate, pleomorphic adenoma, surgical excision, surgical obturator abstract pleomorphic adenoma pa is the most common salivary gland tumor, accounting for about 4070% of all major and minor salivary gland tumors. Pleomorphic adenoma, is the most common tumor 50% of the major and minor salivary glands. Pleomorphic adenoma is the most common parotid gland tumor. Pleomorphic adenoma is a common benign salivary gland neoplasm characterised by neoplastic proliferation of parenchymatous glandular cells along with myoepithelial components, having a malignant potentiality. The patient was treated with a palatal obturator prosthesis first and with an implant supported prosthesis. Pleomorphic adenoma is the most common benign salivary gland neoplasm. Mar 15, 20 pleomorphic adenoma is a benign neoplasm which is commonly encountered in the parotid gland and other major salivary glands. Generally it is mobile, except when it occurs in the hard palate.
Pleomorphic adenoma pa, or benign mixed tumor, is the most common salivary neoplasm. Most common intraoral location is the palate specifically, the junction of the soft and hard palates. Imaging characteristics of recurrent pleomorphic adenoma of. Complete evalutation of patients and complete removal of the tumor must be ensured so that. Pleomorphic adenoma of the hard palate figueiredo, et al. Pleomorphic adenoma presenting a 2x2cm well circumscribed lesion on the palate of a 67year old female iarc screening group.
Computed tomography scans revealed areas of bony erosion. This 20 year old girl reported to our hospital with the complaint of a swelling on the left side of the palate for the past 12 years. Pleomorphic adenoma of the palate in a child and she denied drug allergy. Pleomorphic adenoma pa is the most common benign mixed salivary gland neoplasm that accounts for 60% of all benign salivary gland tumors. Pleomorphic adenoma is a benign tumor in the salivary gland.
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