Pleomorphic adenoma in the oral mucosa of a young adult: a case report

Resumo

The pleomorphic adenoma (PA) is the most common
benign neoplasia in salivary glands, affecting most commonly the
parotid gland of females between the 4th and 6th decades of life.
PA can less commonly affect the minor salivary glands; in these
cases the main site of attack is the palate. Objective: This study
aims are twofold: to report a clinical case of PA involving minor
salivary glands in the oral mucosa, treated conservatively; and to
emphasize the importance of pathologic examination in defining
the correct diagnosis. Case report: A 22 year-old melanoderm male
patient sought emergency room due to asymptomatic swelling in
the right side of the face. After comprehensive clinical examination,
it was decided to perform an incisional biopsy to confirm the
diagnosis and further treatment. After confirming the diagnosis of
pleomorphic adenoma, we opted for enucleation of the lesion to avoid
possible complications such as scar retraction and salivary fistula.
Conclusion: It is very important that the dentist early diagnoses
the neoplasia to perform more conservative treatments and achieve
a better prognosis for the patient, always following-up the case for
a period from five to ten years to ensure the non-recurrence of
this neoplasia.