Value Added Abstract - (2022) Volume 0, Issue 0
Introduction: Low-grade polymorphous adenocarcinoma is a malignant neoplasm of salivary glands with uncommon occurrence in the head and neck region. The lesions occur more frequently among elderly females between the sixth and eighth decades of life, with a higher prevalence for the hard palate and soft palate. The most indicated surgical treatment is extensive surgical excision, including resection of the underlying bone. The purpose of this study is to describe a case report of a surgical excision of polymorphous adenocarcinoma in the maxilla with mucous flap reconstruction. Case Report: A 63-year-old male patient complaining of a tumor-like lesion in his left maxilla, which gradually increased in volume. At the intra-oral clinical examination showed the presence of upper and lower total dentures, an increase in volume in the left maxillary tuberosity region and a lesion of nodular features with fibrous and smooth consistency, fixed, sessile, oval shape, defined edges, and painless symptomatology. Radiographic imaging by panoramic radiography revealed a lesion with mixed radiographic density projected in the left maxillary tuberosity region and the in computed tomography scans were obtained and used for 3D image reconstruction. An axial tomographic view indicated the presence of a heterogeneous lesion with osteolysis: alteration in the cortical/trabecular bone and reabsorption of the left palatine bone, with regular contour and defined edges. Given the extent and complexity of the lesion, the surgical treatment in this case consisted of hemimaxillectomy and the surgery proceeded with mucosal flap reconstruction. The postoperative period followed was the service protocol, with no complications and no sign of recurrence. The pathological specimen was sent to the Anatomopathological Service, where the free margins and diagnosis were confirmed. Conclusion & Significance: The low-grade polymorphic adenocarcinoma is a rare malignant neoplasm that affects the salivary glands whose potential for malignancy, recurrence and metastasis are relatively low.
Lohana Maylane Aquino Correia de Lima, Academic in Dentistry in Federal University of Pernambuco, Brazil; Currently, she is an intern at Ambulatory of Maxillofacial Surgery and Traumatology Service in the Clinical Hospital at the Federal University of Pernambuco, being a member of the project to care for patients with oral diseases and facial traumas and the project entitled prevention and treatment of cancer in face and mouth regions in Venturosa-Pernambuco-Brazil.
1. Menezes PAF, Macário JA, Franco AVM, Pordeus SS, Almeida WA, Peixoto FB (2016). Adenocarcinoma polimorfo de baixo grau: relato de caso. RvAcBO 25:235-242.
2. Wang TC, Yang YT, Tsai MT (2016). Polymorphous LowGrade Adenocarcinoma: a rare cause of long-term epistaxis. Arch Otolaryngol Rhinol 2: 27-29
3. Chatura KR (2015). Polymorphous low grade adenocarcinoma. J Oral Maxillofac Pathol 19:77-82.
4. Akhavan A, Binesh F, Nafis MR (2015). Polymorphous low-grade adenocarcinoma of submandibular gland. Rep Pract Oncol Radiother 2: 675.
5. Neville, B. W., Damm, D. D., Allen, C. M., & Chi, A. C. (2016). Oral and maxillofacial pathology. Elsevier Health Sciences.
Citation: Lohana Maylane Aquino Correia de Lima, Surgical excision of polymorphous adenocarcinoma in the left maxilla with mucocutaneous flap reconstruction, Oral Health 2020, 19th October, London, UK.
Received: 01-Jan-2022, Manuscript No. jdrp-22-30149 (M); Editor assigned: 03-Jan-2022, Pre QC No. jdrp-22-30149 (P); Reviewed: 18-Jan-2022, QC No. jdrp-22-30149 (Q); Revised: 20-Jan-2022, Manuscript No. jdrp-22-30149 (R); Published: 25-Jan-2022, DOI: 10.4172/jdrp.22.4(S1).02
Copyright:This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
