Management of Pleomorphic Adenoma of Submandibular Gland: A Rare Case

Elvita Nora Susana, Lily Setiani, Baluqia Iskandar
2021 Proceedings of the Conference on Health and Wellbeing in Modern Society (CHW 2021)   unpublished
Pleomorphic adenoma is the most common benign tumor in the salivary glands but rarely in the submandibular glands. It is a mass in the submandibular, which is asymptomatic and painless. Excision of the tumor is a treatment that surgeons widely use. The study aimed to describe the management of pleomorphic adenoma of the submandibular gland. A 55-year-old woman with a lump on the left submandibular since 20 years ago. The result of the Fine Needle Aspiration Biopsy (FNAB) revealed a follicular
more » ... oplasm and on a neck computed tomography (CT) scan showed a heterogeneous mass on the left cervical with a size of 7x5,3x7 cm. Incision and transcervical excision of the left submandibular were performed. It started with a horizontal incision that ±11 cm long following the size of the tumor and according to the skin line. This incision was made ±3 cm below the left mandibular angle to avoid the marginal mandibular of the facial nerve branch. The histopathological result was a pleomorphic adenoma. The literature and evidence were searched using Medline, PubMed, and hand searching. Excision of the tumor is the appropriate treatment for pleomorphic adenoma and there are several surgical approaches to the submandibular gland, including transcervical, submental, retroauricular, and transoral lateral. The pleomorphic adenoma submandibular gland is a rare case. Excising the whole pleomorphic adenoma of the submandibular gland and its capsule showed a good result.
doi:10.2991/ahsr.k.220206.037 fatcat:ymufappwj5asvnuznwjxfh3p2u