Submandibular gland carcinoma ex pleomorphic adenoma clinically mimicking a benign lesion

Carcinoma expleomorphic adenoma (CXPA) is a malignant carcinoma arising from a primary or recurrent benign pleomorphic adenoma. The lesion is recognized to be an aggressive malignancy with high recurrence rates and a high metastatic rate. CXPA is commonly seen in the sixth or seventh decade of life...

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Bibliographic Details
Main Authors: Grace Paka Lubamba, Guan Jian, Wang Xin Yu, Zhang Guo liang, Ning Shang Bo, Dai Xin Peng, Fidele Nyimi Bushabu
Format: Article
Language:English
Published: Elsevier 2020-09-01
Series:Oral and Maxillofacial Surgery Cases
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214541920300274
Description
Summary:Carcinoma expleomorphic adenoma (CXPA) is a malignant carcinoma arising from a primary or recurrent benign pleomorphic adenoma. The lesion is recognized to be an aggressive malignancy with high recurrence rates and a high metastatic rate. CXPA is commonly seen in the sixth or seventh decade of life and shows a predilection for females. It accounts for approximately 3–5% of all salivary neoplasms and 12% of all salivary gland malignancies. Histologically, CXPA is characterized by the presence of both epithelial and mesenchymal components. We present an unusual case of a submandibular gland CXPA that clinically mimicked a benign tumour. The case offers an interesting perspective on the management challenges and associated prognostic significance after a follow-up evaluation of 6 years.
ISSN:2214-5419