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[Pleomorphic adenoma causing a peritonsillar abscess].
Daniel Victor Glazer1, Frans Rømeling
1Øre, næse og halsafdelingen, Køge -Sygehus, Lykkebækvej 1, 4600 Køge. daniel_glazer@yahoo.com.
Ugeskrift for Laeger
|December 24, 2014
Summary
Pleomorphic adenoma in the soft palate is rare. This case highlights a misdiagnosed benign tumor presenting as a peritonsillar abscess, requiring surgical excision.
Area of Science:
- Oral Pathology
- Surgical Oncology
Background:
- Pleomorphic adenoma, a benign salivary gland neoplasm, typically occurs in the parotid gland.
- Soft palate pleomorphic adenomas are exceptionally uncommon, posing diagnostic challenges.
Observation:
- A 42-year-old woman presented with a soft palate swelling mimicking a peritonsillar abscess.
- Initial drainage attempts were unsuccessful, leading to emergency tonsillectomy.
- Intraoral examination during surgery revealed a tumor adjacent to the right tonsil.
Findings:
- Histological analysis confirmed the tumor as a pleomorphic adenoma.
- The tumor and tonsil were radically excised.
- A 6 mm residual tumor was detected on MRI at three-month follow-up.
Implications:
- This case underscores the importance of considering rare diagnoses in persistent or unusual presentations.
- Accurate diagnosis and complete surgical resection are crucial for managing soft palate pleomorphic adenoma.
- Post-operative surveillance is necessary to monitor for residual disease.
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