Mucoepidermoid carcinoma mimicking a mucocele: a case report highlighting the importance of microscopic analysis of oral lesions

Objective: the aim of this paper is to report a case of palatal Mucoepidermoid carcinoma (MEC) mimicking a mucocele, to highlight the main differential diagnoses, and to point out the need of a biopsy to establish the diagnosis even in a suspicion of benign reactive lesions. Case report: a female wa...

Full description

Bibliographic Details
Main Authors: Tamires Thadeu Coelho, Adriele Ferreira Gouvea, Ademar Takahama Jr., Danielle Resende Camisasca, Silvia Paula de Oliveira, Rebeca Souza Azevedo
Format: Article
Language:English
Published: Associação Brasileira de Odontologia 2018-09-01
Series:Revista Brasileira de Odontologia
Subjects:
Online Access:http://www.revista.aborj.org.br/index.php/rbo/article/view/1016
_version_ 1819039654971703296
author Tamires Thadeu Coelho
Adriele Ferreira Gouvea
Ademar Takahama Jr.
Danielle Resende Camisasca
Silvia Paula de Oliveira
Rebeca Souza Azevedo
author_facet Tamires Thadeu Coelho
Adriele Ferreira Gouvea
Ademar Takahama Jr.
Danielle Resende Camisasca
Silvia Paula de Oliveira
Rebeca Souza Azevedo
author_sort Tamires Thadeu Coelho
collection DOAJ
description Objective: the aim of this paper is to report a case of palatal Mucoepidermoid carcinoma (MEC) mimicking a mucocele, to highlight the main differential diagnoses, and to point out the need of a biopsy to establish the diagnosis even in a suspicion of benign reactive lesions. Case report: a female was referred to a stomatologist for evaluation of a palate swelling noticed about two months earlier. Physical exam revealed a painless translucent submucosal nodule, with an erythematous halo, in the right soft palate. Considering the clinical appearance, diagnostic hypothesis included mucocele and pleomorphic adenoma. An incisional biopsy was performed. Histological analysis of the specimen showed definitive diagnosis of low grade MEC. The case was managed through a complete surgical excision. Currently, she has been followed up without any signs of recurrence. Conclusion: early diagnosis of MEC may guide an adequate therapeutic management and, consequently, promote a favorable prognosis.
first_indexed 2024-12-21T08:56:39Z
format Article
id doaj.art-4f9237968daf4ce7b965e543111c2532
institution Directory Open Access Journal
issn 1984-3747
language English
last_indexed 2024-12-21T08:56:39Z
publishDate 2018-09-01
publisher Associação Brasileira de Odontologia
record_format Article
series Revista Brasileira de Odontologia
spelling doaj.art-4f9237968daf4ce7b965e543111c25322022-12-21T19:09:33ZengAssociação Brasileira de OdontologiaRevista Brasileira de Odontologia1984-37472018-09-0175010.18363/rbo.v75.2018.e1016620Mucoepidermoid carcinoma mimicking a mucocele: a case report highlighting the importance of microscopic analysis of oral lesionsTamires Thadeu Coelho0Adriele Ferreira Gouvea1Ademar Takahama Jr.2Danielle Resende Camisasca3Silvia Paula de Oliveira4Rebeca Souza Azevedo5Posgraduate Program in Dentistry, School of Dentistry, Fluminense Federal University (UFF), Nova Friburgo, RJDepartment of Stomatology, School of Dentistry, Fluminense Federal University (UFF), Nova Friburgo, RJDepartment of Stomatology, School of Dentistry, Fluminense Federal University (UFF), Nova Friburgo, RJDepartment of Stomatology, School of Dentistry, Fluminense Federal University (UFF), Nova Friburgo, RJService of Stomatology, Odontoclínica Central do Exército (OCEx), Rio de Janeiro, RJPosgraduate Program in Dentistry, School of Dentistry, Fluminense Federal University (UFF), Nova Friburgo, RJ Department of Oral Pathology, School of Dentistry, Fluminense Federal University (UFF), Nova Friburgo, RJObjective: the aim of this paper is to report a case of palatal Mucoepidermoid carcinoma (MEC) mimicking a mucocele, to highlight the main differential diagnoses, and to point out the need of a biopsy to establish the diagnosis even in a suspicion of benign reactive lesions. Case report: a female was referred to a stomatologist for evaluation of a palate swelling noticed about two months earlier. Physical exam revealed a painless translucent submucosal nodule, with an erythematous halo, in the right soft palate. Considering the clinical appearance, diagnostic hypothesis included mucocele and pleomorphic adenoma. An incisional biopsy was performed. Histological analysis of the specimen showed definitive diagnosis of low grade MEC. The case was managed through a complete surgical excision. Currently, she has been followed up without any signs of recurrence. Conclusion: early diagnosis of MEC may guide an adequate therapeutic management and, consequently, promote a favorable prognosis.http://www.revista.aborj.org.br/index.php/rbo/article/view/1016mouth neoplasmsmucoepidermoid carcinomamucocele
spellingShingle Tamires Thadeu Coelho
Adriele Ferreira Gouvea
Ademar Takahama Jr.
Danielle Resende Camisasca
Silvia Paula de Oliveira
Rebeca Souza Azevedo
Mucoepidermoid carcinoma mimicking a mucocele: a case report highlighting the importance of microscopic analysis of oral lesions
Revista Brasileira de Odontologia
mouth neoplasms
mucoepidermoid carcinoma
mucocele
title Mucoepidermoid carcinoma mimicking a mucocele: a case report highlighting the importance of microscopic analysis of oral lesions
title_full Mucoepidermoid carcinoma mimicking a mucocele: a case report highlighting the importance of microscopic analysis of oral lesions
title_fullStr Mucoepidermoid carcinoma mimicking a mucocele: a case report highlighting the importance of microscopic analysis of oral lesions
title_full_unstemmed Mucoepidermoid carcinoma mimicking a mucocele: a case report highlighting the importance of microscopic analysis of oral lesions
title_short Mucoepidermoid carcinoma mimicking a mucocele: a case report highlighting the importance of microscopic analysis of oral lesions
title_sort mucoepidermoid carcinoma mimicking a mucocele a case report highlighting the importance of microscopic analysis of oral lesions
topic mouth neoplasms
mucoepidermoid carcinoma
mucocele
url http://www.revista.aborj.org.br/index.php/rbo/article/view/1016
work_keys_str_mv AT tamiresthadeucoelho mucoepidermoidcarcinomamimickingamucoceleacasereporthighlightingtheimportanceofmicroscopicanalysisoforallesions
AT adrieleferreiragouvea mucoepidermoidcarcinomamimickingamucoceleacasereporthighlightingtheimportanceofmicroscopicanalysisoforallesions
AT ademartakahamajr mucoepidermoidcarcinomamimickingamucoceleacasereporthighlightingtheimportanceofmicroscopicanalysisoforallesions
AT danielleresendecamisasca mucoepidermoidcarcinomamimickingamucoceleacasereporthighlightingtheimportanceofmicroscopicanalysisoforallesions
AT silviapauladeoliveira mucoepidermoidcarcinomamimickingamucoceleacasereporthighlightingtheimportanceofmicroscopicanalysisoforallesions
AT rebecasouzaazevedo mucoepidermoidcarcinomamimickingamucoceleacasereporthighlightingtheimportanceofmicroscopicanalysisoforallesions