Akademik Veri Yönetim Sistemi
Clinical Dentistry and Research, cilt.47, sa.2, ss.42-45, 2023 (Hakemli Dergi)
Background and Aim:
Pleomorphic adenoma is the most common benign salivary gland mixed tumor, Pleomorphic adenoma is mostly seen in the maxillary palatal region as minor salivary gland tumor.It is clinically slow-growing and non-ulcerous, so patient awareness may take months or years. The most preferred treatment of pleomorphic adenomas is surgical excision. Histopathologically, there are filamentary extensions (pseudopods) on the thin capsule structure. Since the presence of these structures increases the risk of recurrence of the tumor, it may need to be excised together with some healthy mucosa over it. In this case report, surgical excisions and 1-year follow-up of pleomorphic adenomas located in the maxilla palatinal region in 2 female patients are presented.
Materials and Methods:
33 year old and 48 female patient was referred to Hacettepe University, Department of Oral and Maxillofacial Surgery due to asymptomatic expansion in the maxillary palatal area. The lesions were seen as a smooth-surfaced and dome-like lesion. Surgical excision of the lesions were decided with the preliminary diagnosis of pleomorphic adenoma.. The lesions sizes were measured 6X10X10 mm and 6x10x22 mm. Lesions was excised, including the healthy tissues and the periosteum.
Results:
In the post-operative period, recovery was uneventful. No recurrence was observed during the one-year follow-up period of the patients.
Conclusion:
Total excision is required as lack of a well-defined capsule and therefore carrying risk of recurrence in pleomorphic adenomas. Surgical excision is the most preferred treatment option in the literature with a high success rate. Although the risk of malignancy is low, long-term follow-up of patients is important after