Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
권호 표지
DOI QR코드

DOI QR Code

Multiple bilateral malar mucinous cystadenomas in the minor salivary glands

  • Choi, Jun Ho (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School) ;
  • Kim, Seung Hyun (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School) ;
  • Hwang, Jae Ha (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School) ;
  • Kim, Kwang Seog (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School) ;
  • Lee, Sam Yong (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School)
  • Received : 2020.07.20
  • Accepted : 2020.10.15
  • Published : 2020.10.20
Download PDF
⟨ Previous Next ⟩

Abstract

Mucinous cystadenoma, one of the subtypes of cystadenomas, is a rare benign salivary gland tumor. Most of the cases reported tumors presenting as asymptomatic, slow growing, single masses, primarily occurring in the parotid glands, buccal mucosa, and hard palate. This report describes a case of multiple mucinous cystadenomas that presented as subcutaneous swellings in both cheeks, which were mistaken for a benign subcutaneous tumor. A complete surgical excision was performed through an intraoral incision. There were no recurrences or complications. A diagnosis of mucinous cystadenoma was made by histopathological examination. Mucinous cystadenomas are differentiated from other salivary gland tumors based on the pathological findings. A malignant transformation is also possible. Preoperative imaging cannot identify mucinous cystadenomas because of their small size and atypical features, and needle biopsy has its limitations in such salivary gland tumors. Therefore, accurate diagnosis and treatment through surgical excision become important.

Keywords

References

  1. Hart WR. Mucinous tumors of the ovary: a review. Int J Gynecol Pathol 2005;24:4-25.
  2. Weledji EP, Eyongetah D, Nana TC, Ngowe MN. Excision of mucinous cystadenoma of pancreas is safe and effective: a case report. Int J Surg Oncol 2018;3:e47. https://doi.org/10.1097/IJ9.0000000000000047
  3. Lee SY, Han WC. Primary retroperitoneal mucinous cystadenoma. Ann Coloproctol 2016;32:33-7. https://doi.org/10.3393/ac.2016.32.1.33
  4. Auclair PL, Ellis GL, Gnepp DR, Wenig BM, Janney CG. Salivary gland neoplasms: general considerations. In: Ellis GL, Auclair PL, Gnepp DR, editors. Surgical pathology of the salivary glands. Philadelphia: W.B. Saunders Co.; 1991. p. 135-64.
  5. Goto M, Ohnishi Y, Shoju Y, Wato M, Kakudo K. Papillary oncocytic cystadenoma of a palatal minor salivary gland: a case report. Oncol Lett 2016;11:1220-2. https://doi.org/10.3892/ol.2015.3978
  6. Skalova A, Michal M. Cystadenoma. In: Barnes L, Eveson JW, Reichart D, editors. World Health Organization classification of tumours pathology and genetics of head and neck tumours. Lyon: IARC Press; 2005. p. 273-4.
  7. Seethala RR, Stenman G. Update from the 4th edition of the World Health Organization classification of head and neck tumours: tumors of the salivary gland. Head Neck Pathol 2017;11:55-67. https://doi.org/10.1007/s12105-017-0795-0
  8. Cho MJ, Kang YJ, Choi DJ, Lee CK. A case of mucinous cystadenoma of the parotid gland. J Korean Soc Plast Reconstr Surg 1995;22:196-200.
  9. Ryou N, Ko DY, Jung H, Cho JG. A case of mucinous cystadenoma mimicking mucoepidermoid carcinoma in parotid gland. Korean J Otorhinolaryngol-Head Neck Surg 2015;58:886-9. https://doi.org/10.3342/kjorl-hns.2015.58.12.886
  10. Foss RD, Ellis GL, Auclair PL. Salivary gland cystadenocarcinomas: a clinicopathologic study of 57 cases. Am J Surg Pathol 1996;20:1440-7. https://doi.org/10.1097/00000478-199612000-00002
  11. Kessler AT, Bhatt AA. Review of the major and minor salivary glands, part 1: anatomy, infectious, and inflammatory processes. J Clin Imaging Sci 2018;8:47. https://doi.org/10.4103/jcis.JCIS_45_18
  12. Kim YH, Yoon HW, Kim J, Kim SW. Ectopic pleomorphic adenoma on subcutaneous plane of the cheek. Arch Craniofac Surg 2019;20:55-7. https://doi.org/10.7181/acfs.2018.01949
  13. Michal M, Skalova A, Mukensnabl P. Micropapillary carcinoma of the parotid gland arising in mucinous cystadenoma. Virchows Arch 2000;437:465-8. https://doi.org/10.1007/s004280000274
  14. Oh SJ, Moon D. Spindle cell myoepithelioma of the parotid gland. Arch Craniofac Surg 2019;20:336-40. https://doi.org/10.7181/acfs.2018.02341
  15. Tjioe KC, de Lima HG, Thompson LD, Lara VS, Damante JH, de Oliveira-Santos C. Papillary cystadenoma of minor salivary glands: report of 11 cases and review of the English literature. Head Neck Pathol 2015;9:354-9. https://doi.org/10.1007/s12105-014-0602-0