R. Melo, M. Fernandes, Rodrigo Henrique Mello Varela Ayres de Melo, Milena Mello Varela Ayres de Melo Pinheiro, V. Melo, C. Aguiar
{"title":"Surgical resection of pleomorphic adenoma","authors":"R. Melo, M. Fernandes, Rodrigo Henrique Mello Varela Ayres de Melo, Milena Mello Varela Ayres de Melo Pinheiro, V. Melo, C. Aguiar","doi":"10.15448/1980-6523.2018.1.29681","DOIUrl":null,"url":null,"abstract":"OBJECTIVE: The Pleomorphic Adenoma is the most common among benign neoplasm derived from salivary glands and it might suggest malignancy when there is some sort of fast growth, pain, facial nerve involvement and cervical adenopathy. Its onset occurs between 40 and 60 years old and prevails on the female gender. Salivary glands tumor diagnosis depends on a precise pathological diagnosis as well as non-invasive examinations, which include ultrasonography, sialography, computed tomography and magnetic resonance imaging. The most recommended surgical treatment is the complete lesion excision, indispensable to avoid possible recurrence. Depending on the lesion situs, size, depth, and volume, the surgical technique choice for the pleomorphic adenoma may vary. The adenoma keeps developing if it is not completely removed. CASE DESCRIPTION: The present paper aims to describe a clinical case of a female melanodermic patient, aged 29 years old, who attended the MaxilloFacial Surgery and Traumatology Service of Federal University of Pernambuco complaining of an increased volume in the left submandibular region. The clinical examination revealed a well-delimited lesion in the left parotid area, presenting with a firm and painless consistency. The required ultrasonography image confirmed the initial diagnosis and the patient was referred to the surgical facility in order to undertake tumor resection with partial parotidectomy under general anesthesia.CONCLUSION: The present study concludes that pleomorphic adenoma is a benign tumor with diverse characteristics and surgical technique choice depends on the lesion depth, as well as its extension and relation with the facial nerve.","PeriodicalId":38878,"journal":{"name":"Revista Odonto Ciencia","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Odonto Ciencia","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.15448/1980-6523.2018.1.29681","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Dentistry","Score":null,"Total":0}
引用次数: 0
Abstract
OBJECTIVE: The Pleomorphic Adenoma is the most common among benign neoplasm derived from salivary glands and it might suggest malignancy when there is some sort of fast growth, pain, facial nerve involvement and cervical adenopathy. Its onset occurs between 40 and 60 years old and prevails on the female gender. Salivary glands tumor diagnosis depends on a precise pathological diagnosis as well as non-invasive examinations, which include ultrasonography, sialography, computed tomography and magnetic resonance imaging. The most recommended surgical treatment is the complete lesion excision, indispensable to avoid possible recurrence. Depending on the lesion situs, size, depth, and volume, the surgical technique choice for the pleomorphic adenoma may vary. The adenoma keeps developing if it is not completely removed. CASE DESCRIPTION: The present paper aims to describe a clinical case of a female melanodermic patient, aged 29 years old, who attended the MaxilloFacial Surgery and Traumatology Service of Federal University of Pernambuco complaining of an increased volume in the left submandibular region. The clinical examination revealed a well-delimited lesion in the left parotid area, presenting with a firm and painless consistency. The required ultrasonography image confirmed the initial diagnosis and the patient was referred to the surgical facility in order to undertake tumor resection with partial parotidectomy under general anesthesia.CONCLUSION: The present study concludes that pleomorphic adenoma is a benign tumor with diverse characteristics and surgical technique choice depends on the lesion depth, as well as its extension and relation with the facial nerve.
期刊介绍:
Cessation. The Revista Odonto Ciência is a peer-reviewed journal published online (ISSN 1980-6523), four times per year, supported by the Pontifical Catholic University of Rio Grande do Sul – Dental School since 1986. Its abbreviation is Rev Odonto Cienc, which should be used in references, bibliographic legends, and footnotes. The Revista Odonto Ciência is an international scientific journal dedicated to provide a forum for academics, researchers, and practitioners to communicate relevant basic, clinical, education, and epidemiological studies in Dentistry and related fields. The Journal seeks to publish articles on new conceptual models, innovative technology, alternative procedures or treatment to reduce disease burden in the general population or specific groups, thus contributing to translating science into practice and social development. Contributions falling into the following categories will be considered for publication: 1) original research reports of basic and applied oral sciences, epidemiological, and education studies; 2) review article; 3) case report. The Revista Odonto Ciência only accepts manuscripts written in English. Manuscripts submitted to this journal should not have been published before nor have publication pending elsewhere.