Secretory carcinoma on the floor of the mouth: clinical case

Secretory carcinoma is an uncommon subtype of salivary gland cancer, with a predilection for the parotid gland. The case involves a 51-year-old female patient with no comorbidities, and no history of alcohol consumption or tobacco use, who presented with a painless, smooth, firm, oval-shaped nodule exhibiting a purplish hue on the floor of the mouth, with a progression of 5 months. Diagnostic considerations included salivary gland neoplasia or ranula, prompting an incisional biopsy. Intraoperatively, the discharge of viscous fluid was noted, alongside the identification of a solid lesion indicative of salivary gland neoplasia. Histopathological analysis confirmed the presence of secretory carcinoma. The patient was subsequently referred to a primary care facility and later directed to a Head and Neck Surgery Service, where she underwent resection with clear oncological margins. She is presently under outpatient surveillance, having achieved satisfactory recovery without evidence of recurrence over a 13-month follow-up period.