Yadav Vishav, Bhagat Sanjeev, Sharma Dinesh, Aggarwal Ankita, Goel Khushboo
Department of Otolaryngology, Head and Neck Surgery, Government Medical College Patiala, Patiala, 147001 India.
Indian J Otolaryngol Head Neck Surg. 2024 Apr;76(2):2042-2047. doi: 10.1007/s12070-023-04394-w. Epub 2023 Dec 4.
Of all the head and neck tumors, salivary gland tumors account to 3%. Pleomorphic adenomas are one of the most common benign tumors arising from major salivary glands, although it could also develop from minor salivary glands situated at accessory sites like nasal cavity, pharynx, parapharyngeal space, lacrimal glands etc. Tumors of infratemporal fossa are quite unusual, mainly because of its hidden location in retromaxillary region. We report an unusual case of 65 years old male presenting with complaint of progressive left cheek swelling for 4 years. FNAC revealed pleomorphic adenoma of minor salivary gland tumor. Intraoperatively a giant lobulated tumor was seen occupying almost whole space of infratemporal fossa, which was removed in-toto via open approach. Patient was kept on regular follow up with no evidence of recurrence reported till date.
在所有头颈部肿瘤中,涎腺肿瘤占3%。多形性腺瘤是最常见的起源于大涎腺的良性肿瘤之一,尽管它也可发生于位于鼻腔、咽、咽旁间隙、泪腺等附属部位的小涎腺。颞下窝肿瘤相当少见,主要是因为其位于上颌后区域的隐匿位置。我们报告一例65岁男性的罕见病例,患者因左侧脸颊进行性肿胀4年就诊。细针穿刺抽吸活检显示为小涎腺多形性腺瘤。术中可见一个巨大的分叶状肿瘤几乎占据了整个颞下窝空间,通过开放手术将其完整切除。患者接受定期随访,至今未报告复发迹象。