呼吸障害と嚥下障害をきたした軟口蓋多形腺腫の1例 A case of pleomorphic adenoma with dyspnea and dysphagia in the soft palate : A case report and review of the literature

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著者

    • 脇本 真理 WAKIMOTO Mari
    • 岡山大学大学院医歯薬学総合研究科顎口腔再建外科学分野 Department of Oral and Maxillofacial Reconstructive Surgery, Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • 山田 朋弘 YAMADA Tomohiro
    • 高知大学医学部歯科口腔外科学講座 Department of Oral and Maxillofacial Surgery, Kochi Medical School, Kochi University
    • 植野 高章 [他] UENO Takaaki
    • 福井大学医学部感覚運動医学講座歯科口腔外科学領域 Division of Dentistry and Oral Surgery, Department of Sensory and Locomotor Medicine, School of Medicine, University of Fukui
    • 三島 克章 MISHIMA Katsuaki
    • 山口大学大学院医学系研究科上皮情報解析医科学講座歯科口腔外科学分野 Department of Oral and Maxillofacial Surgery, Yamaguchi University Graduate School of Medicine
    • 片瀬 直樹 KATASE Naoki
    • 岡山大学大学院医歯薬学総合研究科口腔病理病態学分野 Department of Oral Pathology and Medicine, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • 長塚 仁 NAGATSUKA Hitoshi
    • 岡山大学大学院医歯薬学総合研究科口腔病理病態学分野 Department of Oral Pathology and Medicine, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences

抄録

Pleomorphic adenoma arises commonly in the palate, and most lesions are within 30 mm. We report the case of a large pleomorphic adenoma arising in the palate. An 83-year-old woman presented to our department because of an eating disorder and snoring noticed by her family in July 2006. She had dementia, and her voice faded away as she spoke in daily life. Clinical examination revealed a 60-mm elastic-soft mass in the palate. The overlying mucosa was normal, except for a 14 × 20 mm ulcer. There was no induration around the tumor, and the tumor was movable. The cytodiagnosis was class II. In September 2006, tumor resection was performed with the patient under general anesthesia for a clinical diagnosis of pleomorphic adenoma. The tumor did not closely adhere to the surrounding tissue. The excised specimen measured 52 × 32 × 37 mm and was histopathologically diagnosed to be a pleomorphic ademona. The postoperative course was uneventful; snoring disappeared and feeding improved. Two years after surgery, there has been no evidence of recurrence.

Pleomorphic adenoma arises commonly in the palate, and most lesions are within 30 mm. We report the case of a large pleomorphic adenoma arising in the palate. An 83-year-old woman presented to our department because of an eating disorder and snoring noticed by her family in July 2006. She had dementia, and her voice faded away as she spoke in daily life. Clinical examination revealed a 60-mm elastic-soft mass in the palate. The overlying mucosa was normal, except for a 14 × 20 mm ulcer. There was no induration around the tumor, and the tumor was movable. The cytodiagnosis was class II. In September 2006, tumor resection was performed with the patient under general anesthesia for a clinical diagnosis of pleomorphic adenoma. The tumor did not closely adhere to the surrounding tissue. The excised specimen measured 52 × 32 × 37 mm and was histopathologically diagnosed to be a pleomorphic ademona. The postoperative course was uneventful; snoring disappeared and feeding improved. Two years after surgery, there has been no evidence of recurrence.

収録刊行物

  • 日本口腔外科学会雑誌

    日本口腔外科学会雑誌 57(6), 345-349, 2011-06-20

    社団法人 日本口腔外科学会

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各種コード

  • NII論文ID(NAID)
    10030272255
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • NDL 記事登録ID
    11161054
  • NDL 雑誌分類
    ZS44(科学技術--医学--歯科学・口腔外科学)
  • NDL 請求記号
    Z19-145
  • データ提供元
    CJP書誌  NDL  J-STAGE 
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