Mucoepidermoid carcinoma misdiagnosed as palatal odontogenic infection: an overview on the differential diagnosis of palatal lesions

Brajdić, Davor and Virag, Mihajlo and Manojlović, Spomenka and Lukšić, Ivica and Franćeski, Dalibor and Biočić, Josip and Bošan-Kilibarda, Ingrid and Zajc, Ivan and Macan, Darko (2010) Mucoepidermoid carcinoma misdiagnosed as palatal odontogenic infection: an overview on the differential diagnosis of palatal lesions. Collegium Antropologicum, 34 (4). pp. 1473-1479. ISSN 0350-6134

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Abstract

Mucoepidermoid carcinoma (MEC) accounts for approximately 30% of malignant salivary gland tumors and approximately 30% occur in minor salivary glands. The palate is the most frequent localization for those arising in minor glands. A 33-year-old male patient with MEC of the hard palate was treated as an acute odontogenic infection, which was not cured after tooth endodontic treatments, repeated incisions and antibiotics. On the hard palate ovoid, a hard painless mass, which had not extended over the middle palatal line, was observed. Partial maxillectomy was performed. A review of the literature was performed in order to provide a coherent overview on the differential diagnosis of palatal lesions. To the best of authors’ knowledge, this is the first report in English literature describing palatal MEC misdiagnosed and treated as odontogenic infection. Considering the extensive list of MEC’s differential diagnoses on the hard palate, acute odontogenic infection can now be added to that list.

Abstract in Croatian

MUKOEPIDERMOIDNI KARCINOM POGREŠNO DIJAGNOSTICIRAN KAO ODONTOGENA UPALA. PREGLED DIFERENCIJALNE DIJAGNOZE NEPČANIH LEZIJA ----- Mucoepidermoidni carcinom (MEC) čini oko 30% malignih tumora žlijezda slinovnica i otprilike isto toliko ih nastaje u malim žlijezdama slinovnicama. Nepce je najčešća lokalizacija onih koji nastaju u malim žlijezdama slinovnicama. Bolesnik star 33 godine s nepčanim MEC-om neuspješno je liječen kao akutna odontogena upala, koja nije reagirala na endodontsko liječenje zuba, višekratne incizije i antibiotike. Na tvrdom nepcu postojala je polukuglasta, tvrda, bezbolna tvorba koja nije prelazila središnju liniju. Učinjena je djelomična maksilektomija. Temeljem pregleda literature prikazujemo diferencijalnu dijagnozu nepčanih lezija. Koliko je autorima poznato ovo je prvi prikaz nepčanoga MEC-a pogrešno dijagnosticiranoga i liječenoga kao odontogena upala. S obzirom da diferencijalno dijagnostički postoje brojne promjene na nepcu, sada u diferencijalnu dijagnozu MEC-a možemo pribrojiti i akutnu odontogenu upalu.

Item Type: Article
Departments: Katedra za maksilofacijalnu kirurgiju sa stomatologijom
Katedra za patologiju
Depositing User: Marijan Šember
Status: Published
Creators:
CreatorsEmail
Brajdić, DavorUNSPECIFIED
Virag, MihajloUNSPECIFIED
Manojlović, SpomenkaUNSPECIFIED
Lukšić, IvicaUNSPECIFIED
Franćeski, DaliborUNSPECIFIED
Biočić, JosipUNSPECIFIED
Bošan-Kilibarda, IngridUNSPECIFIED
Zajc, IvanUNSPECIFIED
Macan, DarkoUNSPECIFIED
Date: December 2010
Date Deposited: 16 Feb 2011
Last Modified: 23 Sep 2011 16:11
Subjects: /
Related URLs:
    URI: http://medlib.mef.hr/id/eprint/938

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