Pleomorphic adenoma in ectopic salivary gland tissue in the neck [Pleomorfni adenom ektopičnog tkiva žlijezde slinovnice u vratu]

Lukšić, Ivica and Suton, Petar and Manojlović, Spomenka and Macan, Darko and Dediol, Emil (2012) Pleomorphic adenoma in ectopic salivary gland tissue in the neck [Pleomorfni adenom ektopičnog tkiva žlijezde slinovnice u vratu]. Collegium Antropologicum, 36 (S. 2). pp. 133-136. ISSN 0350-6134

Preview

PDF - Published Version Download (209kB) | Preview

Abstract

A case of pleomorphic adenoma originating from ectopic salivary gland tissue (ESGT) of the upper neck is reported. A 34-year-old male patient was referred to our Department for a painless swelling in the right submandibular region. Preoperative evaluation (clinical examination, fine-needle aspiration cytology (FNAC) and imaging studies) was performed and the finding was that of pleomorphic adenoma in ESGT A modified "S" incision with extension to the submandibular region was performed and the tumour was extirpated. The histopathological report confirmed our initial diagnosis. No recurrence was obtained during a four-year follow-up period. Isolated neck mass may be overlooked as ectopic salivary gland tissue neoplasm (ESGTN). Proper preoperative assessment and optimal surgical treatment are the keys for successful management of these rare tumours. The distinction between metastatic lesion from a head and neck tumour and ESGTN may present considerable diagnostic problem. A review of the literature on ESGT and associated tumours with emphasis on clinical features, diagnosis and treatment is also presented.

Abstract in Croatian

Prikazan je slučaj pleomorfnog adenoma ektopičnog tkiva žlijezde slinovnice u gornjem dijelu vrata. Tridesetčetverogodišnji muškarac upućen je u našu Kliniku zbog bezbolne otekline desne submandibularne regije. Preoperativnom obradom (klinički pregled, citološka punkcija, slikovne metode) dijagnosticiran je pleomorfni adenom ektopičnog tkiva žlijezde slinovnice. Učinjena je modificirana »S« incizija sa nastavkom na submandibularnu regiju i tumor je odstranjen u cijelosti. Patohistološki nalaz potvrdio je inicijalno postavljenu dijagnozu. Tijekom četverogodišnjeg praćenja bolesnik je bio bez subjektivnih smetnji i nije zabilježen recidiv bolesti. Među izoliranim tvorbama u vratu rijetko se dijagnosticira tumor ektopičnog tkiva žlijezde slinovnice. Detaljna preoperativna obrada i optimalni kirurški zahvat ključ su uspješnog liječenja ovih rijetkih tumora. Značajan dijagnostički problem može predstavljati diferencijalna dijagnoza između metastaza tumora glave i vrata i tumora ektopičnog tkiva žlijezde slinovnice. Dat je pregled literature o ektopičnom tkivu žlijezde slinovnice i pridruženim tumorima s naglaskom na kliničke značajke, dijagnozu i liječenje.

Actions (login required)

View Item

Downloads