A CASE REPORT OF PLUNGING RANULA WITH METASTATIC ADENOCARCINOMA

전이성 선암종을 포함한 경부하마종(Plunging ranula)의 치험례

  • Jeong, Hae-Seok (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Paeng, Jun-Young (Department of Oral and Maxillofacial Surgery, School of Dentistry, Wonkwang University) ;
  • Myoung, Hoon (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Kim, Myung-Jin (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University)
  • 정해석 (서울대학교대학원 구강악안면외과) ;
  • 팽준영 (원광대학교 치과대학 구강악안면외과) ;
  • 명훈 (서울대학교대학원 구강악안면외과) ;
  • 김명진 (서울대학교대학원 구강악안면외과)
  • Published : 2007.10.31

Abstract

The plunging ranula is a kind of ranula that goes over the mouth floor to the neck and other adjacent tissue. Sublingual gland is gently accepted as origin of plunging ranula. Plunging ranula develops commonly because of rupture of sublingual gland duct by trauma and extravasation of salivary secretion to the adjacent tissue. It is not true cyst so that there is no epithelium. And it consisted with thin connective tissue, inflammation cell infiltration and salivary secretion. Left without treatment, it can grow into the 10 cm more huge lesion. This report is a case of 73 years old female who was diagnosed as plunging ranula with review of literature. She presented 5 cm submandibular swelling at first. When surgery was delayed because of patient's condition, the lesion grew into the l2cm huge size. We performed excision of sublingual gland, submandibular gland and plunging ranula and had a good result without recurrence.

Keywords

References

  1. Sela J, Ulmansky M: Mucous retention cysts of salivary glands. J Oral Surg 1969;27:619
  2. Bridger AG, Carter P, Bridger GP: Plunging ranula : literature review and report of three cases. Aust N Z J Surg 1989;59:946-8
  3. McClathey K, Appelblatt N, Zarbo R: Plunging ranula. Oral surg Oral Med Oral Pathol 1984;57:408-412 https://doi.org/10.1016/0030-4220(84)90160-9
  4. Andre J., Macdonald, Karen L, salzman H, Ric harnsberger: Giant Ranula of the neck : Differntiation from cystic hygroma. AJNR 2003:757-761
  5. Michael J. Shelly, Kar H. Yeung: A rare case of an extensive plunging ranula ; discussion of image, diagnosis, and management. Oral surg Oral med Oral Pathol Oral Radiol Endod 2002;93:743-6 https://doi.org/10.1067/moe.2002.122504
  6. Coit W, Hansberger H, Osborn A: Ranula and their mimics : CT evaluation. Radiology 1987:163:211-216 https://doi.org/10.1148/radiology.163.1.3823437
  7. Harrison JD, Garrett JR: Experimental salivary mucoceles in cat : A histochemical study. J Oral pathol 1975;4:297 https://doi.org/10.1111/j.1600-0714.1975.tb01747.x
  8. Roediger WEW, Lloudy P, Lawson HH: Mucous extravasation theory as a cause of plunging ranula. Br J Surg 1973;60:720-722 https://doi.org/10.1002/bjs.1800600917
  9. White D, Davidson C, Harnsberger H: Accessory salivary gland tissue in the mylohyolid boutonniere : a clinical and radiologic pseudolesion of the oral cavity. AJNR 2001;22:406-412
  10. Coit W, Harnsberger H, Osborn A: Ranula and their mimics: CT evaluation. Radilogy 1987;163:211-216
  11. Koeller Km Alamo L, Adair C, Simirniotopoulos J: Congenital cystic masses of the neck ; Radiologic pathologic correlation. Radiographics 1999;19:121-146 https://doi.org/10.1148/radiographics.19.1.g99ja06121
  12. David A. Lloyd, Mohamed Elgabrun: Plunging ranula. Pediatric surg Int 1995;10:144-145
  13. Parekh D, Stewart M, Joseph C: Plunging ranula : a report of there cases and review of literature. Br J Surg 1987;74:307-309 https://doi.org/10.1002/bjs.1800740426
  14. Rho MH, Kim DW, Kwon JS, et al: OK-432 Scleorotherapy of plunging ranulain 21 patients : It can be a substitute for surgery. AJNR May 2006;27:1090-95