A rare case of a pleomorphic adenoma of the submandibular gland

GAYATHRI GURURAMALINGAM 1, * and C R CHHALLANI 2

1 General Surgery, Registrar, Bhagwan Mahaveer Jain hospital India.
2 General Surgery, faculty: Head of department, Bhagwan Mahaveer Jain hospital, India.
 
Case Report
World Journal of Biology Pharmacy and Health Sciences, 2024, 20(01), 124–127.
Article DOI: 10.30574/wjbphs.2024.20.1.0676
Publication history: 
Received on 18 August 2024; revised on 25 September 2024; accepted on 27 September 2024
 
Abstract: 
We report the case of a 27-year-old female with a painless slowly growing mass that had developed over 2 years in the right submandibular region. Physical examination revealed a firm painless submandibular mass. Fine-needle aspiration and computed tomography (CT) scan concluded a pleomorphic adenoma of the submandibular gland. The patient underwent a right total submandibular sialoadenectomy. Histopathological examination confirmed the diagnosis of pleomorphic adenoma arising from the submandibular gland. Transient palsy of the marginal mandibular division of the facial nerve was noted post-operatively, which recovered with supportive management. Pleomorphic adenoma of the submandibular gland represents a diagnostic and therapeutic dilemma in young adults. Preoperative evaluation, including MRI/CT scan and fine-needle aspiration, is recommended in all cases. Total submandibular sialoadenectomy is the standard recommended treatment to minimise recurrences and avoid malignant transformation.
 
Keywords: 
Sialoadenectomy; Submandibular Gland; Pleomorphic Adenoma; Benign Salivary Gland Tumours
 
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