呼吸障害と嚥下障害をきたした軟口蓋多形腺腫の1例

  • 脇本 真理
    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
  • 山田 朋弘
    高知大学医学部歯科口腔外科学講座
  • 植野 高章
    福井大学医学部感覚運動医学講座歯科口腔外科学領域
  • 三島 克章
    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
  • 片瀬 直樹
    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
  • 長塚 仁
    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

書誌事項

タイトル別名
  • A case of pleomorphic adenoma with dyspnea and dysphagia in the soft palate: A case report and review of the literature
  • コキュウ ショウガイ ト エンカ ショウガイ オ キタシタ ナンコウガイ タケイ センシュ ノ 1レイ

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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.

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