Raju P Ranga, Manyam Ravikanth, Ahalya P
Department of Oral Pathology, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India.
Department of Oral Pathology, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India.
Int J Surg Case Rep. 2023 Apr;105:107985. doi: 10.1016/j.ijscr.2023.107985. Epub 2023 Mar 18.
Adenomatoid hyperplasia (AH) is an unusual entity which simulates salivary gland neoplasm. As suggested some lesions indicate reactive hyperplasia due to the chronic trauma by the ill-fitting complete dentures but here in the present case it's due to a fixed prosthesis. Here is an AHMSG occurring in a rare location that is in the lingual vestibule. Meticulous histopathological examination is an effective diagnostic tool to arrive in the diagnosis of AH.
A 60 years male patient with a lesion in the lingual vestibule of slow growth and an ulcer noted on the surface due to the trauma from the prosthesis. The patient was unaware of the growth and a provisional diagnosis made by the clinician was an irritational fibroma with traumatic ulcer but the final diagnosis turned to be AHMSG.
The present case and previous case series suggest AH has a male preponderance. Histological analysis is a basic fundamental in arriving at a proper diagnosis. It's a 102-case added to the available web knowledge world-wide on AHMSG and the 4th case in India to be noted in the Indian literature.
The differential diagnosis of the lingual vestibular placed exophytic lesions should include AHMSG.
腺样增生（AH）是一种罕见的病变，类似于唾液腺肿瘤。正如一些研究表明，某些病变提示由于不合适的全口义齿长期创伤导致的反应性增生，但在本病例中，是由于固定修复体引起的。这是一例发生在罕见部位——舌前庭的腺样增生性黏液腺性错构瘤（AHMSG）。细致的组织病理学检查是诊断AH的有效工具。
一名60岁男性患者，舌前庭有一生长缓慢的病变，因修复体创伤，表面可见溃疡。患者未意识到该肿物的存在，临床医生初步诊断为伴有创伤性溃疡的刺激性纤维瘤，但最终诊断为AHMSG。
本病例及之前的病例系列表明，AH在男性中更为常见。组织学分析是做出正确诊断的基础。这是世界范围内网络知识中新增的第102例AHMSG病例，也是印度文献中记载的第4例。
舌前庭处外生性病变的鉴别诊断应包括AHMSG。
