Open AccessRare carcinoma ex pleomorphic adenoma of the buccal minor salivary gland causing a therapeutic dilemma
Author(s) -
Yogesh Kini,
Chirag Desai,
Uma Mahindra,
Jitendra V Kalburge
Publication year - 2012
Publication title -
contemporary clinical dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.289
H-Index - 21
eISSN - 0976-237X
pISSN - 0976-2361
DOI - 10.4103/0976-237x.96832
Subject(s) - carcinoma ex pleomorphic adenoma , pleomorphic adenoma , pathology , medicine , adenoma , buccal administration , carcinoma , salivary gland , dentistry
Carcinoma ex pleomorphic adenoma (CXPA), as a group, constitutes 12% of malignant salivary gland tumors. We present a case of CXPA of the buccal mucosa in a 17-year-old patient. The buccal mass was of a size of 3.0 cm located in the right cheek. Pleomorphic adenoma was the provisional diagnosis. The tumor was excised under local anesthesia. Histopathological evaluation revealed a pre-existing pleomorphic adenoma. However, on magnification, certain areas showed islands of dysplastic epithelial cells' invading the fibrous capsule and CXPA was diagnosed. The patient was recalled and secondary surgery of the site performed. No tumor tissue could be detected in the secondary resection specimen. There is no sign of recurrence since 2 years.