1. CENTRAL (INTRAOSSEOUS) MUCOEPI DERMOID CARCINOMA: A RARE CASE REPORT.
- Author
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GIBSON, KATHY T., JOSEPH, JACK, POTTS, ERIN, JOHNSON, C. D., and WARNER, BEN F.
- Subjects
MUCOEPIDERMOID carcinoma ,SALIVARY glands ,PLASTIC surgery ,CARCINOMA ,NECK dissection ,AMELOBLASTOMA - Abstract
INTRODUCTION: Almost 60% of mucoepidermoid carcinomas (MEC) are found in salivary glands, and 2-4% of all mucoepidermoid carcinomas are intraosseous (central) mucoepidermoid carcinomas (CMC). The treatment for these is most frequently surgical resection with long-term follow-up.10 OBJECTIVES: The primary objective in this case is to obtain a differential diagnosis. Based upon the clinical and pathological features observed, to then arrive at a diagnosis. METHODS: This case utilized microscopic examination with clinical and radiographic correlation to reach a definitive diagnosis that led to appropriate treatment. After an initial patient examination, an immediate referral was determined to be Indicated. An incisional biopsy was performed, which included the gingival lesion and the enucleated mass. RESULTS: The tumor consisted of solid and cystic components. Histologically appearing mucous cells were confirmed to be mucicarmine positive. Surgical treatment consisted of tumor removal, jaw resection, and neck dissection. Plastic surgery included bone graft utilizing the right fibula. Radiation therapy followed at two weeks. Seven months post-surgery, the patient was seen for dental treatment and prosthetic placement. CONCLUSION: Five years and 5 months post-surgery, the patient was seen at the dental school for reevaluation. She reported no recurrence of the tumor at that time; however, she complained of residual, lingering discomfort, tongue numbness and deviation, and neck stiffness. [ABSTRACT FROM AUTHOR]
- Published
- 2024