DOI QR코드

DOI QR Code

Basal cell adenoma in the deep portion of the parotid gland: a case report

  • Chung, Woo-Yeol (Department of Oral and Maxillofacial Surgery, Dankook University Dental Hospital, College of Dentistry, Dankook University) ;
  • Kim, Chul-Hwan (Department of Oral and Maxillofacial Surgery, Dankook University Dental Hospital, College of Dentistry, Dankook University)
  • Received : 2015.08.07
  • Accepted : 2015.10.30
  • Published : 2015.12.31

Abstract

Basal cell adenoma (BCA) is a rare, benign neoplasm that most frequently arises in the parotid gland. We treated a 54-year-old female patient with BCA that had developed in the deep portion of the left parotid gland. The patient presented with gradual facial swelling with no other symptoms. We performed a total parotidectomy to excise the mass, but we preserved the facial nerve. Histopathology revealed a well-encapsulated mass. The tumor was composed of islands of comparatively uniform, small, dark, basaloid epithelial cells in the stroma. Histologic and immunohistochemical studies concluded that the BCA tumors were mostly trabecular. Postoperatively, there was no facial nerve weakness, and the tumor did not recur during the 24-month follow-up period.

Keywords

References

  1. Vicandi B, Jimenez-Heffernan JA, Lopez-Ferrer P, Gonzalez-Peramato P, Patron M, Viguer JM. Fine needle aspiration cytology of basal cell adenoma of the salivary gland: a cytohistological correlation study of 35 cases. Cytopathology 2012;23:315-9. https://doi.org/10.1111/j.1365-2303.2011.00899.x
  2. Nakabayashi M, Shomori K, Kiya S, Shiomi T, Nosaka K, Ito H. Tubular-trabecular type basal cell adenoma of the parotid gland: a patient report. Yonago Acta Med 2010;53:65-9.
  3. Gonzalez-Garcia R, Nam-Cha SH, Munoz-Guerra MF, Gamallo-Amat C. Basal cell adenoma of the parotid gland: case report and review of the literature. Med Oral Patol Oral Cir Bucal 2006;11:E206-9.
  4. Wasson J, Karim H, Yeo J, Panesar J. Cervicomastoidfacial versus modified facelift incision for parotid surgery: a patient feedback comparison. Ann R Coll Surg Engl 2010;92:40-3.
  5. Saha S, Pal S, Sengupta M, Chowdhury K, Saha VP, Mondal L. Identification of facial nerve during parotidectomy: a combined anatomical & surgical study. Indian J Otolaryngol Head Neck Surg 2014;66:63-8. https://doi.org/10.1007/s12070-013-0669-z
  6. Kudoh M, Harada H, Sato Y, Omura K, Ishii Y. A case of basal cell adenoma of the upper lip. Case Rep Med 2014. doi: 10.1155/2014/795356.
  7. Chaudhry AP, Cutler LS, Satchidanand S, Labay G, SunderRaj M. Ultrastructure of monomorphic adenoma (ductal type) of the minor salivary glands. Arch Otolaryngol 1983;109:118-22. https://doi.org/10.1001/archotol.1983.00800160052013
  8. Fantasia JE, Neville BW. Basal cell adenomas of the minor salivary glands: a clinicopathologic study of seventeen new cases and a review of the literature. Oral Surg Oral Med Oral Pathol 1980;50:433-40. https://doi.org/10.1016/S0030-4220(80)80012-0
  9. Kim CW, Kim SG. Basal cell adenoma misdiagnosed as an adenoid cystic carcinoma in the parotid gland. J Korean Assoc Oral Maxillofac Surg 2012;38:314-7. https://doi.org/10.5125/jkaoms.2012.38.5.314
  10. Nagao K, Matsuzaki O, Saiga H, Sugano I, Shigematsu H, Kaneko T, et al. Histopathologic studies of basal cell adenoma of the parotid gland. Cancer 1982;50:736-45. https://doi.org/10.1002/1097-0142(19820815)50:4<736::AID-CNCR2820500419>3.0.CO;2-M
  11. Ogawa I, Nikai H, Takata T, Miyauchi M, Ito H, Ijuhin N. The cellular composition of basal cell adenoma of the parotid gland: an immunohistochemical analysis. Oral Surg Oral Med Oral Pathol 1990;70:619-26. https://doi.org/10.1016/0030-4220(90)90411-K
  12. Yu GY, Ubmüller J, Donath K. Membranous basal cell adenoma of the salivary gland: a clinicopathologic study of 12 cases. Acta Otolaryngol 1998;118:588-93. https://doi.org/10.1080/00016489850154775
  13. Junquera L, Gallego L, de Vicente JC, Fresno MF. Bilateral parotid basal cell adenoma: an unusual case report and review of the literature. J Oral Maxillofac Surg 2010;68:179-82. https://doi.org/10.1016/j.joms.2009.04.091
  14. Olsen KD, Moore EJ. Deep lobe parotidectomy: clinical rationale in the management of primary and metastatic cancer. Eur Arch Otorhinolaryngol 2014;271:1181-5. https://doi.org/10.1007/s00405-013-2616-8
  15. Kidd HA. Diseases of the parotid gland and the Frey syndrome. Br J Hosp Med 1969;2:1513-22.
  16. Laccourreye H, Laccourreye O, Cauchois R, Jouffre V, Menard M, Brasnu D. Total conservative parotidectomy for primary benign pleomorphic adenoma of the parotid gland: a 25-year experience with 229 patients. Laryngoscope 1994;104:1487-94.
  17. Gaillard C, Perie S, Susini B, St Guily JL. Facial nerve dysfunction after parotidectomy: the role of local factors. Laryngoscope 2005;115:287-91. https://doi.org/10.1097/01.mlg.0000154735.61775.cd

Cited by

  1. A large basal cell adenoma extending to the ipsilateral skull base and mastoid in the right parotid gland: A case report vol.7, pp.11, 2015, https://doi.org/10.12998/wjcc.v7.i11.1351