Solitary oncocytoma of the submandibular salivary gland in an adolescent female: A case report.

Indian J Otolaryngol Head Neck Surg

Department of Otorhinolaryngology-Head and Neck Surgery, Sri Ramachandra Medical College & Research Institute, Porur, Chennai, 600 116 Tamil Nadu India.

Published: June 2007

We report a rare presentation of Oncocytoma of the submandibular salivary gland in an young adolescent female who presented with progressive swelling in the left submandibular region since childhood with pain for the past one month. Fine needle aspiration revealed Oncocytoma for which a conventional submandibular excision was done. There are few articles about the rare presentation of submandibular Oncocytoma and literature favors older population for this rarity. This case was unique because of its presentation in a young individual and there were no supporting published articles available till date.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3451789PMC
http://dx.doi.org/10.1007/s12070-007-0051-0DOI Listing

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  • The review also noted a slight female predominance in cases and a low association with Birt-Hogg-Dube syndrome, alongside a generally indolent course with few recurrences.
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Aim And Objective: Submandibular oncocytomas are rare benign salivary gland neoplasms, normally involves the parotid gland and few instances are stated in the submandibular gland region. As the clinical and histopathological features are overlapping to another salivary gland tumor like pleomorphic adenoma or warthin tumour, they are often misdiagnosed. They are typically found in patients aged 50-70 years with no gender preference.

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Oncocytoma arising from the parotid gland and extending into the parapharyngeal space (PPS) has not been previously reported. A 64-year-old woman presented with a large slowly growing mass extending from the parotid to the submandibular area, expanding medially to displace the pharynx across the midline. Core-needle biopsy revealed an oncocytoma in the PPS measuring 120 × 88 × 60 mm in size.

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