Pleomorphic Adenoma of bilateral submandibular glands with extensive lipometaplasia: a Case Report

Posted By Tushar Sabharwal
Pleomorphic Adenoma of bilateral submandibular glands with extensive lipometaplasia: a Case Report

The tumors of salivary glands that contain fat are not very common and generally occur in elderly males in their fourth decade. These manifest as lipoma, oncocytic lipoadenoma, non-oncocytic sialolipoma and pleomorphic adenoma with extensive lipometaplasia. Fatty tumors of salivary glands other than pleomorphic adenoma with fatty infiltration can be easily excised with very few chance of recurrence as mostly these are contained in a well defined capsule.   Few scattered fat cells can be found in cases of pleomorphic adenoma which has been left untreated for years. Tumors showing infiltration of fatty cells occupying more than twenty percent of it’s mass, leading to extensive lipometaplasia are not very common. Approximately fifteen cases have been reported in the literature so far concerning this appearance of tumor.   We present to you a case of thirty year old female with complaint of swelling in the neck for past twenty years for which she did not take any treatment. On imaging (ultrasound on Voluson p8, contrast enhanced CT-scan on Siemens 380 slice somatom force CT scanner, MRI on Hitachi Aperto 0.4 tesla MRI system) and after histopathological confirmation, the diagnosis of pleomorphic adenoma of bilateral sub-mandibular glands was made but with fatty cells occupying more than approximately twenty percent of the tumor mass, leading to extensive lipometaplasia (as per the literature).

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  • Tushar Sabharwal 2016-06-12 09:32:32

    Hello Sir,

    The cases of Pleomorphic Adenoma are seen very commonly but this variant with extensive lipometaplasia does not come in the picture every other day. My motive is to publish this case in your renown Journal as it will act as a very important channel in order to take this case to as many readers as possible and they get to know about this kind of presentation and it adds upto their knowledge. I have read a lot of cases from your Journal and have concluded that good quality images and proper presentation is what catches the eye. We have images from 384 slice CT scanner and have done Ultrasonography, MRI and Histopathological studies as well in order to make our case very clear and understandable. Our case presentation is simple yet organised. Kindly give us an opportunity to mesmerize the readers.

    Thank you

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  • Roland Talanow 2016-06-05 14:32:50

    If interested in publishing to the JRCR: what would make this case case worth publishing?

    Thank you.

    Reply