Luksić Ivica, Suton Petar, Manojlović Spomenka, Macan Darko, Dediol Emil
University of Zagreb, School of Medicine, Department of Maxillofacial Surgery, University Hospital Dubrava, Zagreb, Croatia.
Coll Antropol. 2012 Nov;36 Suppl 2:133-6.
A case of pleomorphic adenoma originating from ectopic salivary gland tissue (ESGT) of the upper neck is reported. A 34-year-old male patient was referred to our Department for a painless swelling in the right submandibular region. Preoperative evaluation (clinical examination, fine-needle aspiration cytology (FNAC) and imaging studies) was performed and the finding was that of pleomorphic adenoma in ESGT A modified "S" incision with extension to the submandibular region was performed and the tumour was extirpated. The histopathological report confirmed our initial diagnosis. No recurrence was obtained during a four-year follow-up period. Isolated neck mass may be overlooked as ectopic salivary gland tissue neoplasm (ESGTN). Proper preoperative assessment and optimal surgical treatment are the keys for successful management of these rare tumours. The distinction between metastatic lesion from a head and neck tumour and ESGTN may present considerable diagnostic problem. A review of the literature on ESGT and associated tumours with emphasis on clinical features, diagnosis and treatment is also presented.
报告了一例起源于上颈部异位唾液腺组织（ESGT）的多形性腺瘤病例。一名34岁男性患者因右侧下颌下区无痛性肿胀转诊至我科。进行了术前评估（临床检查、细针穿刺细胞学检查（FNAC）和影像学检查），结果发现是ESGT中的多形性腺瘤。采用改良的“S”形切口并延伸至下颌下区，切除了肿瘤。组织病理学报告证实了我们的初步诊断。在四年的随访期内未出现复发。孤立的颈部肿块可能会被忽视，视为异位唾液腺组织肿瘤（ESGTN）。正确的术前评估和最佳的手术治疗是成功处理这些罕见肿瘤的关键。头颈部肿瘤转移灶与ESGTN之间的鉴别可能存在相当大的诊断问题。还对ESGT及相关肿瘤的文献进行了综述，重点关注临床特征、诊断和治疗。
