Giant Sialolithiasis in Submandibular Gland Growing over Extended Period: A Case Report.

IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE
Bulletin of Tokyo Dental College Pub Date : 2024-12-11 Epub Date: 2024-11-15 DOI:10.2209/tdcpublication.2024-0010
Masae Yamamoto, Masashi Iwamoto, Akira Katakura
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引用次数: 0

Abstract

Sialolithiasis is a common disease of the salivary glands. This report describes a rare case of a submandibular gland sialolithiasis that grew over an extended period. The patient was a 72-year-old woman who presented with a mass in the right submandibular gland that had remained untreated for approximately 34 years. She had noticed the mass from the beginning, but had ignored it as it had caused no pain. She was eventually referred to our hospital, however, because panoramic X-ray images taken at another facility showed that it had grown over the previous 10 years. Extraoral findings at our clinic revealed a hen egg-sized, elastic, hard mass in the right submandibular region, strongly suggesting intraglandular sialolithiasis of the right submandibular gland. Extraction of the right submandibular gland was performed under general anesthesia. The size of the sialolith inside the submandibular gland was 42×22×15 mm, with a visually rough and yellowish-white surface. Histopathological findings showed a lamellar structure with basophilically stained bacteria in the hard material at the core, a finding typical of sialoliths. Therefore, the diagnosis was intraglandular sialolithiasis of the right submandibular gland. This report describes a case of a rare giant sialolith located within the right submandibular gland.

颌下腺长期生长的巨大霰粒肿:病例报告
霰粒肿是一种常见的唾液腺疾病。本报告描述了一例罕见的颌下腺霰粒肿长期生长的病例。患者是一名 72 岁的女性,右侧颌下腺肿块约 34 年一直未得到治疗。她从一开始就注意到了肿块,但由于肿块没有引起疼痛,所以一直没有在意。然而,她最终被转诊到我院,因为在另一家医院拍摄的全景 X 光图像显示,该肿块在过去 10 年中不断增大。我院的口外检查结果显示,右侧颌下腺区域有一个鸡蛋大小、有弹性的硬块,强烈提示右侧颌下腺腺内矽石症。在全身麻醉下进行了右下颌下腺摘除术。颌下腺内的霰粒肿大小为 42×22×15 毫米,表面粗糙,呈黄白色。组织病理学检查结果显示其为片状结构,核心的硬质材料中有嗜碱性染色的细菌,这是典型的霰粒肿。因此,诊断结果为右侧颌下腺的腺内霰粒肿。本报告描述了一例位于右侧下颌下腺内的罕见巨型霰粒肿。
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来源期刊
Bulletin of Tokyo Dental College
Bulletin of Tokyo Dental College DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
0.90
自引率
0.00%
发文量
15
期刊介绍: The bulletin of Tokyo Dental collegue is principally for the publication of original contributions to multidisciplinary research in dentistry.
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