軟口蓋部に発生した大きな多形性腺腫の1例

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Pleomorphic adenomas arises most frequently from the parotid glands. In the oral cavity, they occur in such various areas as the palate, cheeks, floor of mouth, tongue and lips.<BR>This report represents a case of pleomorphic adenoma in the soft palate which we recently experienced.<BR>Case: A 81 year-old female was referred to us with slowly enlarging, painless swelling in the soft palate. She complained of dysphagia. Clinical examination revealed a soft nontender mass in the soft palate. Uvula was pushed toward the unaffected side. There was no induration, mucosal ulceration, cervical lymphadenopathy or palsy of cranial nerves (VII, IX, X, XI). An attempted biopsy of the tumor was aborted because of profuse bleeding. After admission, digital subtraction angiography (DSA) revealed hypervascular mass. Selective embolization was performed for the preoperative devascularization of the hypervascular neoplasm. Surgical removal of the tumor was accomplished with total blood loss of only 160m<I>l</I>. The postoperative couse was uneventful with no sign of tumor recurrence.
社団法人日本口腔外科学会の論文