An Uncommon Occurrence of Pleomorphic Adenoma in Submandibular Gland in a 14-Year-Old Child: A Case Report
Himani Tiwari Chaturvedi,
A1/57, Darshanam Greens, BH Baroda Public School 2 Near Nathdwara Residency, Dabhoi Waghodia Ring Road, Vadodara-390019, Gujarat, India.
|Neoplastic disorders of salivary gland are rare in children and adolescents as compare to salivary gland inflammatory diseases. When salivary gland tumour occur in children, they are approximately 10 times more likely to occur in parotid gland than submandibular gland. Pleomorphic Adenomas (PA) of submandibular glands mostly occurs in third to fifth decade of life but rarely occur in children and adolescents. Patients usually present with a painless mass without any other associated symptoms and with female predominance. Radiologic studies are usually unable to differentiate benign from malignant neoplasm in most cases. Surgical removal of the submandibular gland along with tumour is the best treatment option for PA in children and adolescents. PA consists of epithelial and myoepithelial cells which forms various patterns along with different types of stromal formation and sometimes play challenges for diagnosis. Recurrences are rare in submandibular gland PA and the prognosis is excellent. Here, a case of a 14-year-old male patient who presented with a painless left submandibular mass that developed over the period of four months and was not associated with fever, erythema, oedema has been reported. Preoperative imaging revealed a submandibular mass contiguous with the left submandibular gland. The mass and left submandibular gland were completely excised. The histopathology confirmed the diagnosis of PA arising from left submandibular gland without any malignant changes. The postoperative period was uneventful. Patient follow-up was done till nine months and no recurrence was noted. Early diagnosis and strict follow-up pivots the management of PA in children.|
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