Journal of Otology & RhinologyISSN: 2324-8785

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Case Report, J Otol Rhinol Vol: 6 Issue: 1

A Case of Buccal Mucosal Swelling: The Diagnostic Conundrum

Vineeth K1*, Sowmya SV1, Kavitha P1, Madhuri B1 and Shwetha V2
1Department of Oral and Maxillofacial Pathology, Faculty of Dental Sciences, M.S. Ramaiah University of Applied Sciences, Bangalore, India
2Department of Oral Medicine Diagnosis and Radiology, Faculty of Dental Sciences, M.S. Ramaiah University of Applied Sciences, Bangalore, India
Corresponding author : Dr. Vineeth K
Associate Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, M.S. Ramaiah University of Applied Sciences, Bangalore, India
Tel:
9620100084
E-mail: drvineethk123@gmail.com
Received: June 24, 2016 Accepted: November 01, 2016 Published: January 02, 2017
Citation: Vineeth K, Sowmya SV, Kavitha P, Madhuri B, Shwetha V (2017) A Case of Buccal Mucosal Swelling: The Diagnostic Conundrum. J Otol Rhinol 6:1. doi: 10.4172/2324-8785.1000301

Abstract

Buccal mucosal swellings are more often noticed in day to day practice. Routinely they are associated with buccal space, buccal fat pad, buccinator muscle and minor/major salivary glands etc. Certain common oral swelling presenting in this region leads us to a prompting concern about the tumors. A 62 year old female patient reported with a chief complaint of pain in left cheek region since 2 years. A diffuse swelling approximately 2 × 2 cm in the buccal mucosa near to the retro-molar area was noticed. With this a working diagnosis of chronic sialadinitis of minor salivary gland or fibroma secondary to traumatic denture flanges was given. Surgically lesion was separated from underlying tissue and was excised into. The histopathological picture of the lesion was sclerosing variant of mucoepidermoid carcinoma of minor salivary gland which was unexpected and therefore probably the consideration of malignancy in the differential diagnosis even though the clinical presentation is not in favor is a take home message.

Keywords: Buccal mucosal swelling; Mucoepidermoid carcinoma; Salivary gland diseases; Sclerosing MEC

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