PMC3716021_01
55-year-old male patient with pain and swelling of the palate which was subsequently diagnosed as adenoma of the palatal minor salivary glands. Extra-oral clinical photograph shows swelling on the right side of the face.
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F1
Extra-oral examination revealed soft, tender, and diffuse swelling in the right middle third of the face measuring approximately about about 4cm x 4cm, superioinferiorly extending from the infraorbital region to 1 cm above the right commissure of the lip and anteroposteriorly from the right nasolabial fold to 2 cm anterior to the tragus [Figure 1].
55-year-old male patient with pain and swelling of the palate which was subsequently diagnosed as adenoma of the palatal minor salivary glands. Intra-oral clinical photograph reveals swelling on the right side of the palate.
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F2
Intra-oral examination revealed the presence of right palatal swelling measuring approximately 4 cm x 2.5 cm, which was soft to firm in consistency and tender on palpation [Figure 2].
55-year-old male patient with pain and swelling of the palate which was subsequently diagnosed as adenoma of the palatal minor salivary glands. X-ray of the paranasal sinus shows diffuse radiopaque mass (arrow) involving right maxillary sinus.
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F3
Radiographic examination of the para nasal sinus revealed the presence of a diffuse radio-opaque mass occupying entire right maxillary sinus without involving the orbit [Figure 3].
55-year-old male patient with pain and swelling of the palate which was subsequently diagnosed as adenoma of the palatal minor salivary glands. Enhanced computed tomography demonstrates homogenous mass (arrow) in the right middle third of the face involving the nasal cavity and maxillary sinus.
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F4
Enhanced computed tomography with slice thickness of 4 mm showed a homogenous mass infiltrating the palate, nasal cavity, and right maxillary sinus measuring approximately about 4 cm x 4 cm superioinferiorly and 3 cm x 2 cm anteroposteriorly [Figure 4].
55-year-old male patient with pain and swelling of the palate which was subsequently diagnosed as adenoma of the palatal minor salivary glands. Hematoxylin and eosin stained palatal tissue (x100) shows cords (black arrow), islands of basaloid cells (yellow arrow) in close proximity to overlying hyperplastic palatal epithelium and also infi ltrating into deeper connective tissue.
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F5
Frank infiltration into the deeper connective tissue, focal areas of necrosis, and hemorrhage were also seen [Figures 5 and 6].
55-year-old male patient with pain and swelling of the palate which was subsequently diagnosed as adenoma of the palatal minor salivary glands. Hematoxylin and eosin stained palatal tissue (x40) reveals aggregates of basaloid cells, with pleomorphic vesicular or hyper chromatic nuclei (yellow arrow) with occasional ductal structures (black arrow).
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F6
Frank infiltration into the deeper connective tissue, focal areas of necrosis, and hemorrhage were also seen [Figures 5 and 6].
55-year-old male patient with pain and swelling of the palate which was subsequently diagnosed as adenoma of the palatal minor salivary glands. Post-treatment extra-oral clinical photograph shows complete resolution of the swelling on the right side of the face.
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F7
Post-treatment patient's course was uneventful and there have been no signs of local recurrence or distant metastasis during the 14-month follow-up [Figures 7 and 8].
55-year-old male patient with pain and swelling of the palate which was subsequently diagnosed as adenoma of the palatal minor salivary glands. Post-operative intra-oral clinical photograph shows resolution of the swelling in the palate.
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F8
Post-treatment patient's course was uneventful and there have been no signs of local recurrence or distant metastasis during the 14-month follow-up [Figures 7 and 8].