Recurrence Rate of Pleomorphic Adenoma in Minor Salivary Glands After Surgical Excision: A Retrospective Clinical Study

Ali Hussein Abbas; Yassir Ryadh Al-Khannaq; Auday Mahmood Al-Anee; Ahmed Fadhel Al-Quisi

doi:10.54133/ajms.v6i1.440

المؤلفون

Ali Hussein Abbas Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Baghdad, Baghdad, Iraq https://orcid.org/0000-0001-9300-8834
Yassir Ryadh Al-Khannaq Department of Oral and Maxillofacial Surgery Department, College of Dentistry, University of Baghdad, Baghdad, Iraq https://orcid.org/0000-0002-0200-2128
Auday Mahmood Al-Anee Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Baghdad, Baghdad, Iraq https://orcid.org/0000-0003-4638-4559
Ahmed Fadhel Al-Quisi Department of Oral Surgery, College of Detistry, University of Baghdad, Baghdad, Iraq https://orcid.org/0000-0002-1884-4696

DOI:

https://doi.org/10.54133/ajms.v6i1.440

الكلمات المفتاحية:

Minor salivary gland، Pleomorphic adenoma، Surgical excision، Tumor recurrence

الملخص

Background: Pleomorphic adenoma of the minor salivary gland is a rare benign tumor. It commonly occurs in the hard and soft palates. Treatment by surgical excision achieved success in improving the patient’s health. Objective: To evaluate the recurrence rate after surgical treatment of pleomorphic adenoma in minor salivary glands. Methods: This retrospective study included patients who attended the Maxillofacial Surgery Unit in Ghazi Al-Hariri Hospital, Baghdad, from 2019 to 2021, complaining of soft tissue lumps involving the soft and hard palate, buccal mucosa, and upper lip. After the provisional diagnosis of these lesions, a total surgical excision of the tumor with a safe margin of 1 mm was performed, and the biopsy was sent for histopathological examination. A follow-up evaluation was performed for all patients two years after surgery. Results: Twenty-three patient data sheets with minor salivary gland pleomorphic adenoma were screened and initially included in this study. Only 12 patients (8 males and 4 females) were eligible, and 11 were excluded. Out of the patients who had total surgical excision, two women experienced tumor recurrence during the follow-up period. One had an ulcerated pleomorphic adenoma in the hard palate, and the other had a pleomorphic adenoma in the soft palate with mucosal tethering. Conclusions: Wide surgical excision is a successful treatment to decrease the recurrence rate, especially in cases of ulceration and tethering.

التنزيلات

بيانات التنزيل غير متوفرة بعد.

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