Indan Journal of Medical Research Indan Journal of Medical Research Indan Journal of Medical Research Indan Journal of Medical Research
  Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login  
  Home Print this page Email this page Small font sizeDefault font sizeIncrease font size Users Online: 1402       

   Table of Contents      
CLINICAL IMAGES
Year : 2016  |  Volume : 144  |  Issue : 3  |  Page : 485-486

Giant pleomorphic adenoma of submandibular gland


1 Department of Radiology, Faculty of Medicine, University of Niš, Niš, Serbia
2 Department of Maxillofacial Surgery, Faculty of Medicine, University of Niš, Niš, Serbia

Date of Submission14-Sep-2015
Date of Web Publication20-Jan-2017

Correspondence Address:
Sladjana Petrovic
Department of Radiology, Faculty of Medicine, University of Niš, Niš
Serbia
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-5916.198671

Rights and Permissions

How to cite this article:
Petrovic S, Petrović D. Giant pleomorphic adenoma of submandibular gland. Indian J Med Res 2016;144:485-6

How to cite this URL:
Petrovic S, Petrović D. Giant pleomorphic adenoma of submandibular gland. Indian J Med Res [serial online] 2016 [cited 2019 Sep 21];144:485-6. Available from: http://www.ijmr.org.in/text.asp?2016/144/3/485/198671

A 76 year old female patient presented to the department of Maxillofacial Surgery Dental Clinic in Nis, Serbia, in February 2014 with a large mass on the right side of the neck [Figure 1]a and [Figure 1]b. The mass developed over the last 17 years. Physical examination showed pended, lobulated mass from the right submandibular region to the base of the neck. No cervical lymphadenopathy was found. Contrast-enhanced computed tomography revealed heterogeneous, lobulated contrast-enhancing lesion of 40 × 25 × 31 cm size [Figure 2]a and [Figure 2]b. The lesion was characterized by the compression and displacement of the airway, carotid artery and internal jugular vein without infiltration [Figure 2]a and [Figure 2]b.
Figure 1: (a) Patient with a pended, lobulated mass on the right side of the neck (arrows), frontal view. (b) Patient with a mass on the right side of the neck (arrows), lateral view.

Click here to view
Figure 2: (a) Axial post-contrast computed tomography scans showing heterogeneous, lobulated tumoural mass (arrows) with displacement of the airway (arrowheads). (b) Sagittal post-contrast computed tomography scans showing tumoural mass (arrows) with compression of internal jugular vein (arrowheads).

Click here to view


The patient underwent surgical therapy with complete surgical removal of the tumour mass weighting 3.5 kg. Histopathology showed submandibular gland pleomorphic adenoma composed of myxoid stroma and epithelial cells [Figure 3]. The follow up period was 18 months, with no evidence of recurrence [Figure 4]. This is a rare case of giant pleomorphic adenoma of submandibular gland with atypical location, long evolution without malignant alteration and complete surgical removal.
Figure 3: Histopathology findings showed pleomorphic adenoma of submandibular gland composed of myxoid stroma (black arrowhead) and epithelial cells (white arrowhead) (Haematoxylin & Eosin, ×40).

Click here to view
Figure 4: Patient at six month follow up. Post-operative scar is present, with no evidence of recurrence (arrow).

Click here to view



   Acknowledgment Top


Authors acknowledge the contribution of Dr Ivica Vucković, Department of Maxillofacial Surgery, Niš, Serbia.


    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4]



 

Top
 
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
   Acknowledgment
    Article Figures

 Article Access Statistics
    Viewed439    
    Printed1    
    Emailed0    
    PDF Downloaded188    
    Comments [Add]    

Recommend this journal