Savithri Vindhya, Suresh Rakesh, Janardhanan Mahija, Veeraraghavan Ravi
Department of Oral and Maxillofacial Pathology & Microbiology, Amrita Vishwa Vidyapeetham, Amrita School of Dentistry, Kochi, Kerala, India
Department of Oral and Maxillofacial Pathology & Microbiology, Amrita Vishwa Vidyapeetham, Amrita School of Dentistry, Kochi, Kerala, India.
BMJ Case Rep. 2021 Mar 25;14(3):e239965. doi: 10.1136/bcr-2020-239965.
Salivary gland tumours can arise in any location in the oral cavity but are rather rare in the retromolar region. The majority of the salivary neoplasms arising here are malignant in nature. Mucoepidermoid carcinoma is more commonly seen in the palate. Tumours arising in the retromolar region tend to show symptoms late in onset and may be greater in extent than evident clinically. Imaging studies will help in understanding the full extent of these lesions. We report a case of mucoepidermoid carcinoma arising in a young female patient who reported for orthodontic correction. In the course of examination, a palpable swelling was identified in the right retromolar area, which was eventually diagnosed as intermediate-grade mucoepidermoid carcinoma. Wide resection with adjuvant radiotherapy was the treatment given for the patient.
涎腺肿瘤可发生于口腔内的任何部位,但在磨牙后区较为少见。发生于此区域的大多数涎腺肿瘤本质上是恶性的。黏液表皮样癌在腭部更为常见。发生于磨牙后区的肿瘤往往起病较晚,且范围可能比临床所见更为广泛。影像学检查有助于了解这些病变的全貌。我们报告一例发生于一名前来进行正畸矫正的年轻女性患者的黏液表皮样癌病例。在检查过程中,在右侧磨牙后区发现一个可触及的肿块,最终被诊断为中度黏液表皮样癌。对该患者采用了广泛切除并辅助放疗的治疗方法。