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Pleomorphic Adenoma of Hard Palate: An Experience

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Abstract

Introduction

Pleomorphic adenoma of minor salivary glands of hard palate is a rare benign tumour. It usually presents as slow growing submucosal mass on hard palate. The purpose of this study was to collect observational data regarding age, size, symptoms, CT findings and treatment of pleomorphic adenoma of hard palate.

Material and methods

The prospective observational study was done in the Department of ENT, Department of Oral and maxillofacial surgery at SKIMS Medical College and at Peoples Care Polyclinic for a period of 2 years. Twenty cases were enrolled in the study. After clinical suspicion, computed tomography, FNAC and core needle biopsy was done in all twenty cases before any surgical intervention was done.

Results

Most common age group seen to be involved was 16–30 years. Most common symptom was submucosal slow growing mass. Core biopsy was diagnostic with 100 % efficacy. On CT scan twelve patients (60 %) were seen to have intact hard palate even without minor erosions while four patients had full thickness erosion of hard palate. Surgical wide excision was done in all cases and one patient needed total maxillectomy. All treated patients were followed for one year and none showed signs of recurrence

Conclusion

Pleomorphic adenoma of hard palate is usually seen in adults. Definitive diagnosis lies on histopathological examination. CT is necessary for ruling out any bony erosion. Treatment is by wide local excision.

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References

  1. Luna MA, Batsakis JG, El-Naggar AK (1991) Salivary gland tumors in children. Ann Otol Rhinol Laryngol 100:869–871

    CAS  PubMed  Google Scholar 

  2. Jorge J, Pires FR, Alves FA, Perez DEC, Kowalski LP, Lopes MA (2002) Juvenile intraoral pleomorphic adenoma: report of five cases and review of the literature. Int J Oral Maxillofac Surg 31:273–275

    Article  CAS  PubMed  Google Scholar 

  3. Sanjay Byakodi, Shivayogi Charanthimath, Santosh Hiremath 4, Kashalikar JJ (2011) Pleomorphic adenoma of palate: a case report. Int J Dent Case Reports 1:36–40

  4. Mubeen K, Vijayalakshmi KR, Patil AR, Giraddi GB, Singh C (2011) Benign pleomorphic adenoma of minor salivary gland of palate. J Dent Oral Hyg 3:82–88

    Google Scholar 

  5. Batsakis JG (1981) Neoplasms of the minor and ‘lesser’ major salivary glands. In: Tumors of the head and neck. The Williams and Wilkins Company, Baltimore, p 38–47

  6. Suen JY, Synderman NL (1993) Benign neoplasms of the salivary glands. In: Cummings CW, Fredrickson JM, Harker LA, Krause CJ, Schuller DE (eds) Otolaryngology—head and neck surgery. Mosby Year Book, St. Louis, pp 1029–1042

    Google Scholar 

  7. Dhanuthai K, Sappayatosok K, Kongin K (2009) Pleomorphic adenoma of the palate in a child: a case report. Med Oral Patol Oral Cir Bucal 14:E73–E75

    PubMed  Google Scholar 

  8. Moubayed SP, AlSaab F, Daniel SJ (2010) Rapidly progressing palatal pleomorphic adenoma in an adolescent. Int J Pediatr Otorhinolaryngol Extra 5:141–143

    Article  Google Scholar 

  9. Yamamoto H, Fukumoto M, Yamaguchi F, Sakata K, Oikawa T (1986) Pleomorphic adenoma of the buccal gland in a child. Int J Oral Maxillofac Surg 15:474–477

    Article  CAS  PubMed  Google Scholar 

  10. Byars LT, Ackerman LV, Peacock E (1957) Tumors of salivary gland origin in children: a clinical pathologic appraisal of 24 cases. Ann Surg 146:40–51

    Google Scholar 

  11. Lopez-Cedrun JL, Gonzalez-Landa G, Birichinaga B (1996) Pleomorphic adenoma of the palate in children: report of a case. Int J Oral Maxillofac Surg 25(3):206–207

    Article  CAS  PubMed  Google Scholar 

  12. Shaaban H, Bruce J, Davenport PJ (2001) Recurrent pleomorphic adenoma of the palate in a child. Br J Plast Surg 54:245–247

    Article  CAS  PubMed  Google Scholar 

  13. Feinmesser R, Gay I (1983) Pleomorphic adenoma of the hard palate: an invasive tumour? J Laryngol Otol 97:1169–1171

    Article  CAS  PubMed  Google Scholar 

  14. Clauser L, Mandrioli S, Dallera V, Sarti E, Galiè M, Cavazzini L (2004) Pleomorphic adenoma of the palate. J Craniofac Surg 15:1026–1029

    Article  PubMed  Google Scholar 

  15. Pogrel MA (1994) The management of salivary gland tumors of the palate. J Oral Maxillofac Surg 52:454

    Article  CAS  PubMed  Google Scholar 

  16. Noghreyan A, Gatot A, Maor E et al (1995) Palatal pleomorphic adenoma in a child. J Laryngol Otol 109:343

    Article  CAS  PubMed  Google Scholar 

  17. Weber AL (1981) Pleomorphic adenoma of the hard palate. Ann Otol Rhinol Laryngol 90:192–194

    CAS  PubMed  Google Scholar 

  18. De Courten A, Lombardi T, Samson J (1996) Pleomorphic adenoma in a child: 9-year follow-up. Int J Oral Maxillofac Surg 25:293–295

    Article  PubMed  Google Scholar 

  19. Lopez-Cedrum JL, Gonzalez-Landa G, Birichinaga B (1996) Pleomorphic adenoma of the palate in children: report of a case. Int J Oral Maxillofac Surg 25:206

    Article  Google Scholar 

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Correspondence to Suhail Amin Patigaroo.

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Patigaroo, S.A., Patigaroo, F.A., Ashraf, J. et al. Pleomorphic Adenoma of Hard Palate: An Experience. J. Maxillofac. Oral Surg. 13, 36–41 (2014). https://doi.org/10.1007/s12663-012-0448-5

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  • DOI: https://doi.org/10.1007/s12663-012-0448-5

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