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一名年轻成年人的腭部肿胀。

Palatal swelling in a young adult.

作者信息

Ravikumar S Shamala, Saranya V, Chandramohan K

机构信息

Department of Oral Pathology, Adhiparasakthi Dental College and Hospital, Melmaruvathur, Tamil Nadu, India.

出版信息

J Oral Maxillofac Pathol. 2019 Feb;23(Suppl 1):27-31. doi: 10.4103/jomfp.JOMFP_192_18.

Abstract

The presence of numerous minor salivary gland tissues in the posterior part of hard palate increases the possibility of salivary gland neoplasms. Minor salivary gland tumor accounts for about 15% of all the salivary gland neoplasms, of which mucoepidermoid carcinoma (MEC) accounts for about 35.9%. Although a wide range of the differential diagnosis is made by the clinicians toward a single palatal swelling without any other specific changes on inspection, a prompt "histopathological" diagnosis is of utmost importance in case of lesions like "MEC." By taking the case study of a 23-year-old male patient who was complaining of difficulties in eating and speaking due to a swelling in the palate that was not associated with pain, etc., this case report highlights the need for an early clinical examination and prompt histopathological diagnosis of such clinically benign looking lesions, as such an action can play an ameliorating role in reducing the chances of postoperative morbidity.

摘要

硬腭后部存在众多小唾液腺组织增加了唾液腺肿瘤的发生可能性。小唾液腺肿瘤约占所有唾液腺肿瘤的15%,其中黏液表皮样癌(MEC)约占35.9%。尽管临床医生对单个腭部肿胀进行广泛的鉴别诊断,且检查时无任何其他特异性改变,但对于像“MEC”这样的病变,迅速进行“组织病理学”诊断至关重要。通过对一名23岁男性患者的病例研究,该患者因腭部肿胀而诉说进食和说话困难,且该肿胀与疼痛等无关,本病例报告强调了对此类临床看似良性病变进行早期临床检查和迅速组织病理学诊断的必要性,因为这样的举措在降低术后发病率方面可起到改善作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90be/6421911/a0c3295ffe1b/JOMFP-23-27-g001.jpg

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