Abstract
We report the case of a 56-year-old female patient with a giant tumor on the left side of the neck, which appeared to be localised outside the large salivary glands. Due to the extensive vascularisation seen on MRI, digital subtraction angiography was performed. To reduce intraoperative bleeding, the vasculature was embolized. The tumor was resected together with the submandibular gland, since a connection between gland and tumor could not be excluded intraoperatively. Histology showed a pleomorphic adenoma with an intact capsule and no indication of malignancy. Pleomorphic adenomas are typical tumors of the salivary glands; however, they can also occur outside the gland. The tumor and its pseudocapsule must be fully resected to prevent recurrence.
Publication types
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Case Reports
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English Abstract
MeSH terms
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Adenoma, Pleomorphic / blood supply
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Adenoma, Pleomorphic / diagnosis*
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Adenoma, Pleomorphic / pathology
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Adenoma, Pleomorphic / surgery
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Angiography, Digital Subtraction
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Connective Tissue / pathology
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Diagnosis, Differential
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Embolization, Therapeutic
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Female
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Head and Neck Neoplasms / blood supply
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Head and Neck Neoplasms / diagnosis*
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Head and Neck Neoplasms / pathology
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Head and Neck Neoplasms / surgery
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Humans
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Lymph Nodes / pathology
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Magnetic Resonance Imaging
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Middle Aged
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Preoperative Care
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Soft Tissue Neoplasms / blood supply
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Soft Tissue Neoplasms / diagnosis*
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Soft Tissue Neoplasms / pathology
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Soft Tissue Neoplasms / surgery
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Submandibular Gland / pathology
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Submandibular Gland / surgery
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Submandibular Gland Neoplasms / blood supply
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Submandibular Gland Neoplasms / diagnosis*
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Submandibular Gland Neoplasms / pathology
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Submandibular Gland Neoplasms / surgery