Pleomorphic adenoma in an adolescent, about a clinical case

• Soto-Castillo, Damian ^[2] ; Wong-Silva, Jadier ^[3] ; Bory-Porras, Lucien Gregoria ^[4] ; Ramírez-Gómez, Mario ^[1]
  1. [1] Universidad Anáhuac

     Universidad Anáhuac

     México

     
  2. [2] Hospital Pediátrico Provincial “Mártires de Las Tunas”. Las Tunas. Cuba
  3. [3] Universidad de Ciencias Médicas de Pinar del Río. Hospital Pediátrico Provincial Docente “Pepe Portilla”. Pinar del Río, Cuba
  4. [4] Universidad de Ciencias Médicas de Pinar del Río. Hospital General “Abel Santamaría Cuadrado”. Pinar del Río, Cuba

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• Localización: Odontología: (Montevideo), ISSN-e 3046-4102, Nº. 2, 2024 (Ejemplar dedicado a: Odontologia (Montevideo))
• Idioma: inglés
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• Resumen

  • Introduction: salivary gland tumors in children represent a low percentage of pediatric head and neck tumors; most of them are diagnosed in association with the Parotid salivary gland and present a higher proportion of malignancy than in adults. Objective: to present a case with a diagnosis of Pleomorphic Adenoma: clinical symptoms, complementary examinations, treatment and evolution. Case presentation: female patient, 13 years old, from a rural background and white race, attended the Maxillofacial Surgery consultation, in good general condition, accompanied by her parents, due to an increase in volume of a hard consistency, not fixed to deep planes ( mobile), asymptomatic, of 7 months of evolution and 3 cm in length located in the left parotid region. Ultrasound of soft tissues and neck was indicated, as well as contrast-enhanced facial mass tomography, which showed a mass in relation to the left parotid gland that captured contrast.   In addition, complementary examinations and a fine needle aspiration biopsy (FNAB) were performed, resulting in a benign parotid gland tumor (Pleomorphic Adenoma). Superficial parotidectomy was performed with preservation of the facial nerve. The patient progressed satisfactorily and continues to be followed up by consultation. Conclusions: pleomorphic adenomas are discovered in practice as slowly growing asymptomatic masses; the size is variable and will always depend on the stage at which it is detected.