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Das seltene Sialadenoma papilliferum am harten Gaumen

Fallbericht und Literaturübersicht

Rare sialadenoma papilliferum in the hard palate

Case report and survey of the literature

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Zusammenfassung

Das Sialadenoma papilliferum stellt einen seltenen benignen Tumor der Speicheldrüsen dar, der typischerweise in der Mundhöhle lokalisiert ist. Als Hauptlokalisationen werden, entsprechend der Verteilung der kleinen Speicheldrüsen in der Mundschleimhaut, der harte und weiche Gaumen genannt. In der Literatur finden sich wenige Kasuistiken zu dieser Tumorentität. Es wird der Fall eines 63-jährigen Patienten beschrieben, bei dem das Sialadenoma papilliferum im Rahmen einer hals-, nasen-, ohrenärztlichen Untersuchung zur Abklärung einer progredienten Dysphagie zufällig diagnostiziert wurde. Bei dem Patienten bestand ein Zustand nach Ösophagektomie bei infrabifurkalem Ösophaguskarzinom ein Jahr zuvor. Die histologische Sicherung erfolgte durch eine Biopsie am Übergang vom harten zum weichen Gaumen rechts. Der Fall wird mit 39 weiteren Kasuistiken aus der Literatur verglichen. Die Therapie der Wahl stellt die chirurgische Resektion des Tumors dar. Hierbei sollte eine In-sano-Resektion angestrebt werden, da in der Literatur eine hohe Rezidivrate bei unvollständiger Entfernung beschrieben wird.

Abstract

Sialadenoma papilliferum is a rare tumour of the salivary glands that usually occurs in the oral cavity. Following the course of the salivary glands of the oral mucosa, the hard and soft palate are the most common locations of this tumor. In the international literature, only a few case reports about this entity can be found. We present a 63-year-old patient with a sialadenoma papilliferum accidentally found during diagnostic procedures for progredient dysphagia. Suffering from infrabifurcal cancer of the oesophagus, the patient had undergone partial oesophagectomy 1 year before. Histological verification was performed with a tumor biopsy at the border of hard and soft palate, on the right side. This case is compared with 39 further cases reported in the literature. The therapy of choice is resection of the tumor. Because of the high frequency of recurrence, in sano resection should be planned.

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Authors and Affiliations

  1. Institut für Pathologie, Universitätsklinikum Leipzig AöR

    M. Neid

  2. Klinik und Poliklinik für Hals-, Nasen-, Ohrenheilkunde/Plastische Operationen, Universitätsklinikum Bonn

    M. Bücheler

  3. Abteilung für Phoniatrie und Audiologie, Klinik und Poliklinik für Hals-, Nasen-, Ohrenkrankheiten/Plastische Operationen, Universitätsklinikum Leipzig AöR, Liebigstraße 18a, 04103 , Leipzig

    C. Wirz, A. Dietz & M. Fuchs

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  1. C. Wirz
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  2. M. Bücheler
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  3. M. Neid
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  4. A. Dietz
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  5. M. Fuchs
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Correspondence to C. Wirz.

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Wirz, C., Bücheler, M., Neid, M. et al. Das seltene Sialadenoma papilliferum am harten Gaumen. HNO 55, 475–480 (2007). https://doi.org/10.1007/s00106-006-1403-x

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