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Extraparotid Locations of Pleomorphic Adenoma: Reflection on 21 Cases Collected in Bamako

Received: 14 June 2022     Accepted: 27 June 2022     Published: 5 July 2022
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Abstract

Objectives: To study the epidemiological, diagnostic and therapeutic characteristics of this rare histological entity and to discuss it with the literature. Materials and methods: This was a descriptive, retrospective and longitudinal study over a period of 7 years from January 2015 to December 2022. We made an exhaustive sampling of all patients seen and treated for pleomorphic adenoma (PA) salivary glands with the exception of parotid locations in the ENT department Surgery, University hospital Gabriel Tour. Results: During the study period, 63 patients were operated on in the department for pleomorphic adenoma of the salivary glands, 21 patients met our criteria, either 9 men or 12 women with an average age of 38 years with extremes ranging from 7 at 78 years old. The seat was the submandibular gland in 11 cases (52.3%), the hard and soft palate 6 cases (28.5%), the oropharynx 1 case (4.8%), lower lip 1 case (4. 8%), nasal fossa 1 case (4.8%), para-pharyngeal space 1 case (4.8%). The clinical examination found a firm, mobile, painless and well-defined swelling in the area of interest. Computed tomography (CT) showed a mass with a regular border, of homogeneous tissue density with moderate enhancement by the contrast product (PDC), with no bone lysis opposite. Cervicofacial ultrasound was performed for 100% of cases of tumors with submandibular location. Surgery was the treatment of choice for all patients. Conclusion: The pleomorphic adenoma raises a problem of differential diagnosis with other tumors of the salivary glands. Rigorous monitoring must be conducted finally to detect signs of malignancy and recurrence after surgery.

Published in International Journal of Otorhinolaryngology (Volume 8, Issue 2)
DOI 10.11648/j.ijo.20220802.11
Page(s) 33-36
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Pleomorphic Adenoma, Salivary Glands, Surgery, Bamako

References
[1] Moukram K., El Bouhairi M., Ben Yahya I. Les localisations rares de l'adénome pléomorphe [Rare localizations of pleomorphic adenoma]. AOS 2017; n° 285: 1-7. https://doi.org/10.1051/aos/2017055
[2] Ben Brahim E, Ferchiou M, Khayat O, Zribi S Et Al. Les tumeurs des glandes salivaires: Etude anatomo-clinique et épidemiologique d’une série de 180 cas [Tumors of the salivary glands: Anatomo-clinical and epidemiological study of a series of 180 cases]. Tunisie médicale 2010; 88: 240-244.
[3] Nouri H, Raji A, Elhattab Y, Rochdi Y, Ait M’barek B. Adénome pléomorphe de la voûte palatine. A propos d’un cas [Pleomorphic adenoma of the palatal vault. About a case]. La Lettre d’Oto-rhino-laryngologie et de chirurgie cervico-faciale 2006; 302: 22-23.
[4] Hamama J., EL Khayati S., Arrob A., Khalfi L., Abouchadi A., Elkhatib M. K. Adénome pléomorphe des glandes salivaires accessoires [Pleomorphic adenoma of the accessory salivary glands]. AOS 2015; 271: 4-9 DOI: 10.1051/aos/2015107.
[5] Bouguacha L, Kermani W, Abdelkafi M, Hasni I, Et Al. Adénome pléomorphe des glandes salivaires accessoires [Pleomorphic adenoma of the accessory salivary glands]. J. Tun orl 2010; 24: 35-39.
[6] Gattia N, Kachouchia K V Kouassi N, Tanon M, Et Al. Tumeur mixte du palais: à propos de deux cas [Mixed tumor of the palate: about two cases]. Médecine d’afrique noire octobre 2011; 58: 479-481.
[7] Gassab E, Berkaoui A, Kedous S, Korbi A, Et Al. Adénome pléomorphe à localisation extra-parotidienne [Pleomorphic adenoma with extra-parotid localization]. J. Tun orl 2009; 22: 36-39.
[8] Bouaity B, Nadour K, Errami N, Chihani M, Et Al. Adénome pléomorphe de l’oropharynx [Pleomorphic adenoma of the oropharynx]. La Lettre d’ORL et de chirurgie cervico-faciale 2009; 319: 23-25.
[9] El Bakkouri W, Barry B. Les tumeurs du voile du palais [Soft palate tumors]. La lettre d’Oto-rhino-laryngologie et de chirurgie cervico-faciale 2003; 283: 16-17.
[10] Y. Yazibenea, N. Ait-Mesbaha, S. Kalafatea. Adénome pléomorphe dégénéré de la fosse nasale [Degenerated pleomorphic adenoma of the nasal cavity]. Annales françaises d’oto-rhino-laryngologie et de pathologie cervico-faciale 2011; 128: 41-45.
[11] S. Hirai et al. Pleomorphic adenoma in nasal cavity: immunohistochemical study of three cases. Auris Nasus Larynx 2002; 29: 291-295.
[12] Honghai Fu, Jun Wang, Lizhen Wang. Pleomorphic adenoma of the salivary glands in children and adolescents. Journal of Pediatric Surgery. 2012; 47: 715-719.
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  • APA Style

    Kassim Diarra, Nfaly Konate, Harouna Sanogo, Drissa Kaloga Bagayoko, Kalifa Coulibaly, et al. (2022). Extraparotid Locations of Pleomorphic Adenoma: Reflection on 21 Cases Collected in Bamako. International Journal of Otorhinolaryngology, 8(2), 33-36. https://doi.org/10.11648/j.ijo.20220802.11

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    ACS Style

    Kassim Diarra; Nfaly Konate; Harouna Sanogo; Drissa Kaloga Bagayoko; Kalifa Coulibaly, et al. Extraparotid Locations of Pleomorphic Adenoma: Reflection on 21 Cases Collected in Bamako. Int. J. Otorhinolaryngol. 2022, 8(2), 33-36. doi: 10.11648/j.ijo.20220802.11

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    AMA Style

    Kassim Diarra, Nfaly Konate, Harouna Sanogo, Drissa Kaloga Bagayoko, Kalifa Coulibaly, et al. Extraparotid Locations of Pleomorphic Adenoma: Reflection on 21 Cases Collected in Bamako. Int J Otorhinolaryngol. 2022;8(2):33-36. doi: 10.11648/j.ijo.20220802.11

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  • @article{10.11648/j.ijo.20220802.11,
      author = {Kassim Diarra and Nfaly Konate and Harouna Sanogo and Drissa Kaloga Bagayoko and Kalifa Coulibaly and Youssouf Sidibe and Fatogoma Issa Kone and Boubacary Guindo and Siaka Soumaoro and Doumbia Kadidiatou Singare and Mohamed Amadou Keita},
      title = {Extraparotid Locations of Pleomorphic Adenoma: Reflection on 21 Cases Collected in Bamako},
      journal = {International Journal of Otorhinolaryngology},
      volume = {8},
      number = {2},
      pages = {33-36},
      doi = {10.11648/j.ijo.20220802.11},
      url = {https://doi.org/10.11648/j.ijo.20220802.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20220802.11},
      abstract = {Objectives: To study the epidemiological, diagnostic and therapeutic characteristics of this rare histological entity and to discuss it with the literature. Materials and methods: This was a descriptive, retrospective and longitudinal study over a period of 7 years from January 2015 to December 2022. We made an exhaustive sampling of all patients seen and treated for pleomorphic adenoma (PA) salivary glands with the exception of parotid locations in the ENT department Surgery, University hospital Gabriel Tour. Results: During the study period, 63 patients were operated on in the department for pleomorphic adenoma of the salivary glands, 21 patients met our criteria, either 9 men or 12 women with an average age of 38 years with extremes ranging from 7 at 78 years old. The seat was the submandibular gland in 11 cases (52.3%), the hard and soft palate 6 cases (28.5%), the oropharynx 1 case (4.8%), lower lip 1 case (4. 8%), nasal fossa 1 case (4.8%), para-pharyngeal space 1 case (4.8%). The clinical examination found a firm, mobile, painless and well-defined swelling in the area of interest. Computed tomography (CT) showed a mass with a regular border, of homogeneous tissue density with moderate enhancement by the contrast product (PDC), with no bone lysis opposite. Cervicofacial ultrasound was performed for 100% of cases of tumors with submandibular location. Surgery was the treatment of choice for all patients. Conclusion: The pleomorphic adenoma raises a problem of differential diagnosis with other tumors of the salivary glands. Rigorous monitoring must be conducted finally to detect signs of malignancy and recurrence after surgery.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Extraparotid Locations of Pleomorphic Adenoma: Reflection on 21 Cases Collected in Bamako
    AU  - Kassim Diarra
    AU  - Nfaly Konate
    AU  - Harouna Sanogo
    AU  - Drissa Kaloga Bagayoko
    AU  - Kalifa Coulibaly
    AU  - Youssouf Sidibe
    AU  - Fatogoma Issa Kone
    AU  - Boubacary Guindo
    AU  - Siaka Soumaoro
    AU  - Doumbia Kadidiatou Singare
    AU  - Mohamed Amadou Keita
    Y1  - 2022/07/05
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ijo.20220802.11
    DO  - 10.11648/j.ijo.20220802.11
    T2  - International Journal of Otorhinolaryngology
    JF  - International Journal of Otorhinolaryngology
    JO  - International Journal of Otorhinolaryngology
    SP  - 33
    EP  - 36
    PB  - Science Publishing Group
    SN  - 2472-2413
    UR  - https://doi.org/10.11648/j.ijo.20220802.11
    AB  - Objectives: To study the epidemiological, diagnostic and therapeutic characteristics of this rare histological entity and to discuss it with the literature. Materials and methods: This was a descriptive, retrospective and longitudinal study over a period of 7 years from January 2015 to December 2022. We made an exhaustive sampling of all patients seen and treated for pleomorphic adenoma (PA) salivary glands with the exception of parotid locations in the ENT department Surgery, University hospital Gabriel Tour. Results: During the study period, 63 patients were operated on in the department for pleomorphic adenoma of the salivary glands, 21 patients met our criteria, either 9 men or 12 women with an average age of 38 years with extremes ranging from 7 at 78 years old. The seat was the submandibular gland in 11 cases (52.3%), the hard and soft palate 6 cases (28.5%), the oropharynx 1 case (4.8%), lower lip 1 case (4. 8%), nasal fossa 1 case (4.8%), para-pharyngeal space 1 case (4.8%). The clinical examination found a firm, mobile, painless and well-defined swelling in the area of interest. Computed tomography (CT) showed a mass with a regular border, of homogeneous tissue density with moderate enhancement by the contrast product (PDC), with no bone lysis opposite. Cervicofacial ultrasound was performed for 100% of cases of tumors with submandibular location. Surgery was the treatment of choice for all patients. Conclusion: The pleomorphic adenoma raises a problem of differential diagnosis with other tumors of the salivary glands. Rigorous monitoring must be conducted finally to detect signs of malignancy and recurrence after surgery.
    VL  - 8
    IS  - 2
    ER  - 

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Author Information
  • Department of Surgery, University Hospital Gabriel Toure, Bamako, Mali

  • Department of Surgery, University Hospital Gabriel Toure, Bamako, Mali

  • Reference Health Center Kalanbancoro, Bamako, Mali

  • Department of Anesthesia-resuscitation, University Hospital Mother-Child "Le Luxembourg", Bamako, Mali

  • Department of Surgery, University Hospital Gabriel Toure, Bamako, Mali

  • Department of Surgery, University Hospital Mother-Child "Le Luxembourg", Bamako, Mali

  • Department of Surgery, University Hospital Gabriel Toure, Bamako, Mali

  • Department of Surgery, University Hospital Gabriel Toure, Bamako, Mali

  • Department of Surgery, University Hospital Gabriel Toure, Bamako, Mali

  • Department of Surgery, University Hospital Gabriel Toure, Bamako, Mali

  • Department of Surgery, University Hospital Gabriel Toure, Bamako, Mali

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