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Alrohaimi FA, Alanazi FM, Almousa HM, Almutairi AB, Alqahtani SM. Basal Cell Adenoma of the Minor Salivary Glands in the Buccal Mucosa: A Rare Entity Arising in an Unusual Location. Cureus 2023; 15:e36580. [PMID: 37095812 PMCID: PMC10122444 DOI: 10.7759/cureus.36580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/22/2023] [Indexed: 04/26/2023] Open
Abstract
One of the rare tumors of the salivary gland is known as basal cell adenoma (BCA). Only a small percentage of salivary gland tumors affect the minor salivary gland of the oral cavity while the majority are found in the parotid gland. We present a rare case of BCA involving the left buccal mucosa of a 45-year-old female. Magnetic resonance imaging (MRI) showed well defined solid mass measuring 1.9 x 1.5 cm in the left buccal space inseparable from the buccinator muscle. The T2-weighted image demonstrates a hyperintense signal post-contrast. Ultrasound-guided fine needle aspiration cytology revealed cellular basaloid neoplasm of uncertain malignant potential. Thereafter excision of the mass was performed through a transoral approach under general anesthesia. Histopathology of the mass showed encapsulated basal cell neoplasm in favor of BCA. The patient was doing well after the surgery and has intact facial nerve and adjacent nerves such as the auriculotemporal nerve and great auricular nerve with no complications then she kept on routine clinic follow-ups, and the surgical site recovered successfully. Therefore, we conclude that MRI and biopsy provide useful information to differentiate between benign adenoma and malignant adenocarcinoma. BCA should be considered in a differential diagnosis of an isolated neck mass. Surgical excision demonstrates an excellent prognosis.
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Affiliation(s)
- Fayez A Alrohaimi
- Otolaryngology - Head and Neck surgery, Prince Sultan Military Medical City, Riyadh, SAU
| | - Farhan M Alanazi
- Otolaryngology - Head and Neck Surgery, Prince Sultan Military Medical City, Riyadh, SAU
- Otolaryngology - Head and Neck Surgery, Prince Mohammed Medical City, Al Jouf, SAU
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Yoshimura S, Yamano Y, Koma A, Kita A, Yamatoji M. A rare case of basal cell adenoma arising in the palate. Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology 2023. [DOI: 10.1016/j.ajoms.2023.02.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
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Kodaka R, Karube T, Arai E, Rikitake N, Nagamine H, Nakagawa T, Asoda S. Basal cell adenoma arising in the palate: A case report and review of the literature. Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology 2022. [DOI: 10.1016/j.ajoms.2022.09.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Taketomi T, Nakamura K, Sanui T, Fukuda T, Tominaga Y, Takase Y, Kusukawa J. Basal cell adenoma of the minor salivary glands in the buccal mucosa: A case report and literature review. Oral and Maxillofacial Surgery Cases 2022. [DOI: 10.1016/j.omsc.2022.100276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Cordeiro MS, de Freitas Filho SAJ, Servato JPS, Eisenberg ALA, Dias FL, de Faria PR, Loyola AM, Cardoso SV. A retrospective study of 30 basal cell adenomas of the salivary gland in a Brazilian population and literature review. Eur Arch Otorhinolaryngol 2020; 278:2447-2454. [PMID: 32886182 DOI: 10.1007/s00405-020-06331-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2020] [Accepted: 08/28/2020] [Indexed: 10/23/2022]
Abstract
PURPOSE The present study aimed to provide the clinicopathological data of Brazilian patients with basal cell adenoma (BCA). METHODS Records of BCA cases were retrospectively gathered from the Brazilian National Cancer Institute database between 1996 and 2006. All cases were histopathologically reviewed, and the clinicopathological data were collected from the patients' medical files. In addition, an English literature review about this tumor is also presented. RESULTS Of 1127 salivary gland tumors identified, 30 were BCAs (2.7%). Women were more affected than men (70.0% vs. 30.0%), and the majority (60.0%) were elderly (> 65 years old). The parotid gland was the most frequent location affected (93.3%), followed by the upper lip (3.3%) and submandibular gland (3.3%). Fine-needle aspiration was the main procedure applied to establish a preoperative diagnosis of tumor; however, the results were not always consistent. Histopathologically, the trabecular pattern was the most common type seen (50.0%) among our BCA samples. Most patients underwent superficial or partial parotidectomy. Frey's syndrome was reported only in one case during the follow-up. No recurrence was noted in the present series. The literature review revealed a total of 213 reported cases of BCA in the period investigated. CONCLUSIONS This is the first case series of BCA reported in Brazil. As occurred in other previously reported series, the clinicopathological data of BCAs are similar and confirm that this type of tumor is rare, develops predominantly in the parotid gland, frequently affects older women, has an indolent behavior, and the affected patients have an excellent prognosis.
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Affiliation(s)
- Mirna Scalon Cordeiro
- Area of Pathology, School of Dentistry, Federal University of Uberlândia, Av. Pará, 1720, Campus Umuarama, Uberlândia, MG, CEP 38400-902, Brazil
| | | | | | | | - Fernando Luiz Dias
- Head and Neck Surgery Service, Brazilian National Cancer Institute (INCA), Rio de Janeiro, RJ, Brazil
| | - Paulo Rogério de Faria
- Department of Cell Biology, Histology and Embryology, Biomedical Science Institute, Federal University of Uberlândia, Uberlândia, MG, Brazil
| | - Adriano Mota Loyola
- Area of Pathology, School of Dentistry, Federal University of Uberlândia, Av. Pará, 1720, Campus Umuarama, Uberlândia, MG, CEP 38400-902, Brazil
| | - Sérgio Vitorino Cardoso
- Area of Pathology, School of Dentistry, Federal University of Uberlândia, Av. Pará, 1720, Campus Umuarama, Uberlândia, MG, CEP 38400-902, Brazil.
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