Management of Mucoepidermoid Carcinoma on the Palate with Loco Regional Metastases : A Case Report

Abstract

Introduction: Salivary gland tumours comprise almost 5% of head and neck malignancies with mucoepidermoid carcinoma (MEC) represents 10-15% of salivary neoplasms that characterized by mucous, intermediate and epidermoid cells, collumnar cells, clear cells and oncocytoid features. Surgery is the most common approach for a resectable tumor, various treatment options for metastasis such as chemotherapy, radiotherapy, and immunotherapy have been investigated. Case: This report presented a case of 24-years old woman came in with complaints of a reddish, soft, kidney bean sized mass on the right posterior hard palatum 5x3x2cm in size with that getting enlarged since 8 months ago with Fine Needle Aspiration Biopsy result of minor salivary gland neoplasm suspect low grade of mucoepidermoid carcinoma. Computed tomography exam showed multiple lobulated isodense lesions at levels Ib, IIa, IIb colli bilateral, indicating that there were metastases to the cervical lymph nodes, without intracranial metastases. Abdominal x-ray and ultrasound examination showed no intrapulmonary and intra-abdominal metastases. Case Management: Hemimaxilectomy and radical neck dissection level I, II, II and IV was performed under general anaesthesia. Conclusion:. Malignant salivary gland tumors at hard palate are best removed through surgical resection and has a significant result to inhibit the metastase of cancer.

Keywords:

hemimaxilectomy, metastasis, mucoepidermoid carcinoma, palatum.