Carcinoma ex pleomorphic adenoma in an elderly patient: A case report and literature review

Carcinoma ex pleomorphic adenoma (Ca ex PA) is a rare malignant tumor of salivary glands that originates in a primary (de novo) or recurrent pleomorphic adenoma. In the carcinoma component of Ca ex PA, many histological subtypes have been identified. It is difficult to make the diagnosis of this tum...

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Main Authors: Atsuko Niki-Yonekawa, Yoshihiro Morita, Yukiko Kusuyama, Yoshio Ueno, Satoko Kishimoto, Nobuo Morita, Narikazu Uzawa
Format: Article
Language:English
Published: Elsevier 2022-09-01
Series:Oral and Maxillofacial Surgery Cases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214541922000311
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author Atsuko Niki-Yonekawa
Yoshihiro Morita
Yukiko Kusuyama
Yoshio Ueno
Satoko Kishimoto
Nobuo Morita
Narikazu Uzawa
author_facet Atsuko Niki-Yonekawa
Yoshihiro Morita
Yukiko Kusuyama
Yoshio Ueno
Satoko Kishimoto
Nobuo Morita
Narikazu Uzawa
author_sort Atsuko Niki-Yonekawa
collection DOAJ
description Carcinoma ex pleomorphic adenoma (Ca ex PA) is a rare malignant tumor of salivary glands that originates in a primary (de novo) or recurrent pleomorphic adenoma. In the carcinoma component of Ca ex PA, many histological subtypes have been identified. It is difficult to make the diagnosis of this tumor because it has various histological findings. A case of Ca ex PA involving a very elderly woman's soft palate is reported. A 92-year-old woman visited our hospital with a chief complaint of a soft palatal mass. The mass was suspected to be a pleomorphic adenoma based on the clinical and magnetic resonance imaging findings. The tumor was diagnosed as Ca ex PA after the surgical procedure. The histological subtype of the malignant component was adenocarcinoma not otherwise specified (NOS). Although she had many indicators of a poor prognosis, no additional therapy was performed because of her age. It was reported that accurate diagnosis and surgical management of patients presenting with Ca ex PA could increase their survival rates. The management of Ca ex PA in very elderly people should be explored, taking into account their age, physical status, and risks.
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spelling doaj.art-439f535bf2df42baa1105617a24dad352022-12-22T02:16:06ZengElsevierOral and Maxillofacial Surgery Cases2214-54192022-09-0183100272Carcinoma ex pleomorphic adenoma in an elderly patient: A case report and literature reviewAtsuko Niki-Yonekawa0Yoshihiro Morita1Yukiko Kusuyama2Yoshio Ueno3Satoko Kishimoto4Nobuo Morita5Narikazu Uzawa6Departments of Oral and Maxillofacial Surgery II, Osaka University Graduate School of Dentistry, Suita-shi, Osaka, 565-0871, Japan; Department of Oral and Maxillofacial Surgery, Seichokai Hannan Municipal Hospital, Hannan-shi, Osaka, 599-0202, JapanDepartments of Oral and Maxillofacial Surgery II, Osaka University Graduate School of Dentistry, Suita-shi, Osaka, 565-0871, Japan; Corresponding author. Departments of Oral and Maxillofacial Surgery II, Osaka University Graduate School of Dentistry, 1-8 Yamadaoka, Suita-shi, Osaka, 565-0871, Japan.Departments of Oral and Maxillofacial Surgery II, Osaka University Graduate School of Dentistry, Suita-shi, Osaka, 565-0871, Japan; Department of Oral and Maxillofacial Surgery, Seichokai Hannan Municipal Hospital, Hannan-shi, Osaka, 599-0202, JapanDepartments of Oral and Maxillofacial Surgery II, Osaka University Graduate School of Dentistry, Suita-shi, Osaka, 565-0871, Japan; Department of Oral and Maxillofacial Surgery, Seichokai Hannan Municipal Hospital, Hannan-shi, Osaka, 599-0202, JapanDepartments of Oral and Maxillofacial Surgery II, Osaka University Graduate School of Dentistry, Suita-shi, Osaka, 565-0871, JapanDepartment of Oral and Maxillofacial Surgery, Seichokai Hannan Municipal Hospital, Hannan-shi, Osaka, 599-0202, Japan; Department of Oral and Maxillofacial Surgery, NS Medical and Healthcare Service General Incorporation Foundation, Wakayama-shi, 640-8555, Wakayama, JapanDepartments of Oral and Maxillofacial Surgery II, Osaka University Graduate School of Dentistry, Suita-shi, Osaka, 565-0871, JapanCarcinoma ex pleomorphic adenoma (Ca ex PA) is a rare malignant tumor of salivary glands that originates in a primary (de novo) or recurrent pleomorphic adenoma. In the carcinoma component of Ca ex PA, many histological subtypes have been identified. It is difficult to make the diagnosis of this tumor because it has various histological findings. A case of Ca ex PA involving a very elderly woman's soft palate is reported. A 92-year-old woman visited our hospital with a chief complaint of a soft palatal mass. The mass was suspected to be a pleomorphic adenoma based on the clinical and magnetic resonance imaging findings. The tumor was diagnosed as Ca ex PA after the surgical procedure. The histological subtype of the malignant component was adenocarcinoma not otherwise specified (NOS). Although she had many indicators of a poor prognosis, no additional therapy was performed because of her age. It was reported that accurate diagnosis and surgical management of patients presenting with Ca ex PA could increase their survival rates. The management of Ca ex PA in very elderly people should be explored, taking into account their age, physical status, and risks.http://www.sciencedirect.com/science/article/pii/S2214541922000311Carcinoma ex pleomorphic adenomaMaxillaElderly patient
spellingShingle Atsuko Niki-Yonekawa
Yoshihiro Morita
Yukiko Kusuyama
Yoshio Ueno
Satoko Kishimoto
Nobuo Morita
Narikazu Uzawa
Carcinoma ex pleomorphic adenoma in an elderly patient: A case report and literature review
Oral and Maxillofacial Surgery Cases
Carcinoma ex pleomorphic adenoma
Maxilla
Elderly patient
title Carcinoma ex pleomorphic adenoma in an elderly patient: A case report and literature review
title_full Carcinoma ex pleomorphic adenoma in an elderly patient: A case report and literature review
title_fullStr Carcinoma ex pleomorphic adenoma in an elderly patient: A case report and literature review
title_full_unstemmed Carcinoma ex pleomorphic adenoma in an elderly patient: A case report and literature review
title_short Carcinoma ex pleomorphic adenoma in an elderly patient: A case report and literature review
title_sort carcinoma ex pleomorphic adenoma in an elderly patient a case report and literature review
topic Carcinoma ex pleomorphic adenoma
Maxilla
Elderly patient
url http://www.sciencedirect.com/science/article/pii/S2214541922000311
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AT yoshioueno carcinomaexpleomorphicadenomainanelderlypatientacasereportandliteraturereview
AT satokokishimoto carcinomaexpleomorphicadenomainanelderlypatientacasereportandliteraturereview
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