Dhanuthai Kittipong, Sappayatosok Kraisorn, Kongin Kusak
Department of Oral Pathology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
Med Oral Patol Oral Cir Bucal. 2009 Feb 1;14(2):E73-5.
Salivary gland tumors are rare in children and the incidence differs from the adult counterpart. When salivary gland tumors do arise in children, they preferentially affect major salivary glands, but minor salivary gland tumors have also been reported. We reported the first case of palatal pleomorphic adenoma in a 13 year-old child from Thailand. She came to Sawanpracharak hospital with the chief complaint of a swelling at the left side of the palate. The oral mucosa covering the lesion was intact. Occlusal radiograph revealed no bony destruction. Incisional biopsy was performed on this patient. The biopsy showed several ducts which were lined by cuboidal cells. These ducts were surrounded by myoepithelial cells, some of which had the plasmacytoid appearance The patient was treated by wide local excision and no recurrence was observed 8 years after the surgery. Differential diagnoses of a palatal swelling in children and treatment of pleomorphic adenoma at the palate were also discussed.
涎腺肿瘤在儿童中较为罕见,其发病率与成人不同。当涎腺肿瘤确实在儿童中发生时,它们更倾向于累及大涎腺,但小涎腺肿瘤也有报道。我们报告了首例来自泰国的13岁儿童腭部多形性腺瘤病例。她因腭部左侧肿胀为主诉前来沙万普拉查拉克医院就诊。覆盖病变的口腔黏膜完整。咬合片显示无骨质破坏。对该患者进行了切开活检。活检显示有几条由立方体细胞衬里的导管。这些导管被肌上皮细胞包围,其中一些具有浆细胞样外观。该患者接受了广泛局部切除治疗,术后8年未观察到复发。还讨论了儿童腭部肿胀的鉴别诊断以及腭部多形性腺瘤的治疗。