Intraosseous Mucoepidermoid Carcinoma-Case Series of a Rare but Recurring Entity.

IF 0.6 Q4 ONCOLOGY
Indian Journal of Surgical Oncology Pub Date : 2025-02-01 Epub Date: 2024-09-16 DOI:10.1007/s13193-024-02092-9
Rajat Choudhari, Pinakin Patel, Suresh Singh, Kamal Kishor Lakhera, Yashasvi Patel
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引用次数: 0

Abstract

Salivary gland tumors constitute 3-6% of all head and neck neoplasms. Mucoepidermoid carcinoma (MEC) is the most common malignant neoplasm, and 2-4% of these tumors can occur in the mandible. This is the largest single report of five cases, all treated within a span of 1 year. After obtaining approval from the institutional ethics committee, a retrospective review was done of the cases where an intraosseous MEC was treated with surgical resection. Five patients were diagnosed as intraosseous MEC and treated within a span of 1 year. All patients underwent a wide local excision with hemimandibulectomy and modified radical neck dissection with a flap reconstruction. Four patients underwent a pectoralis major myocutaneous flap, of which 2 were bipaddle and 1 received a fibular free flap. Four patients received adjuvant radiotherapy and 1 was observed. All of them had good surgical outcome and 3 of them had a DFS of 12 months until follow-up whereas 1 developed a local recurrence. Intraosseous MEC presents with a painless growth in the jaw and may spread beyond the mandible to involve the oral cavity. Primary treatment consists of surgical resection with mandibulectomy and adjuvant radiotherapy for high-risk cases. They have an excellent prognosis with survival up to 98% for low-grade tumors.

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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
190
期刊介绍: The Indian Journal of Surgical Oncology aims to encourage and promote clinical and research activities pertaining to Surgical Oncology. It also aims to bring in the concept of multidisciplinary team approach in management of various cancers. The Journal would publish original article, point of technique, review article, case report, letter to editor, profiles of eminent teachers, surgeons and instititions - a short (up to 500 words) of the Cancer Institutions, departments, and oncologist, who founded new departments.
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