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Mid-cervical malignant pleomorphic adenoma presenting with upper airway obstruction
K Hashizume1, T Nakajo, H Kawarazaki
1Department of Pediatric Surgery, Tokyo University Hospital, Japan.
Acta Paediatrica Japonica : Overseas Edition
|October 1, 1990
Summary
A rare neck tumor, pleomorphic adenoma, was successfully removed from a young child, resolving airway obstruction. The tumor
Area of Science:
- Pediatric Oncology
- Head and Neck Surgery
- Pathology
Background:
- Pleomorphic adenoma is the most common salivary gland neoplasm.
- Neck tumors in children are rare and require careful diagnosis.
- Thyroglossal duct remnants can be sites for various pathologies.
Observation:
- A 1.5-year-old girl presented with a neck mass causing upper airway obstruction.
- Imaging revealed a tumor in the upper middle neck region invading the hyoid bone.
- Histopathological examination confirmed the diagnosis of pleomorphic adenoma.
Findings:
- Complete surgical resection of the pleomorphic adenoma was achieved.
- Post-operative recovery was uneventful, with resolution of airway obstruction.
- The tumor's location and characteristics suggest a possible origin from thyroglossal duct structures.
Implications:
- This case highlights the possibility of pleomorphic adenoma in pediatric neck masses.
- Complete excision is crucial for favorable outcomes and preventing recurrence.
- Further investigation into thyroglossal duct anomalies may be warranted in similar pediatric cases.