Salivary gland neoplasms – At unusual sites: A study of seven cases

Authors : Ankita Pranab Manda, Rama Saha, Chhanda Das

DOI : 10.18231/j.jdpo.2019.063

Volume : 4

Issue : 4

Year : 2019

Page No : 308-314

Introduction: Salivary gland neoplasms represent <1> neoplasms. Outcome is variable and is influenced by tumor type and anatomical location of the tumour.
Minor salivary gland tumors (MSGTs) have a high recurrence rate (5-30%) when surgical removal is
incomplete, and the possibility of malignant transformation must be taken into consideration.
Aim: Scrutiny over the clinical behaviors, anatomical location, histological findings of the tumor and
correlation with immunohistochemistry (IHC).
Materials and Methods: Prospective evaluation of the minor salivary gland tumors (MSGTs) in a tertiary
care center from January 2018 to June 2019. We studied the cases of minor salivary gland tumors. This
comprised patient age and sex, the clinical characteristics and location of the tumor, the duration of the
lesion, its size, the treatment provided, and the histopathological findings along with IHC.
Results: Of the seven cases of MSGTs, there were pleomorphic adenomas, one in nasal cavity and two in
parapharyngeal space and adenoid cystic carcinomas, three in nasal cavity and one in bronchus. Among
those, four corresponded to females and three to males. Patients belonged mostly from fourth to sixth
decade of life. We also have a younger age group of 10 years. The patients have undergone treatment and
are still under follow up.
Discussion and Conclusions: Minor salivary gland malignancies are rare tumors with varied histology
and can occur in any age group including younger patients. Preoperative radiological assessment is very
essential for the head and neck surgeon to know the pattern of spread and to remove the tumour completely
so that there is least chance of recurrence.

Keywords: Pleomorphic adenoma, Adenoid cystic carcinoma, Nasal cavity, Parapharyngeal space, Bronchus.


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