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Published in French in Tropical Dental Journal Volume 45 - September 2022 pages 5-10
Authors : M.E. Nokam, S. Noumbissi, L.M. Mboua, M.C. Bengondo - Cameroon
L'adénome pléomorphe est une tumeur bénigne des glandes salivaires accessoires, de croissance lente, évolutive et susceptible de dégénérescence lorsqu'elle est négligée. Encore appelée tumeur mixte du fait de sa double composante épithéliale et mésenchymateuse, elle siège électivement sur le voile mou ou sur la voute palatine et la lèvre. Objectivement, elle se présente sous forme d'une masse arrondie, indolore, soulevant la muqueuse sans la détruire, l'augmentation de sa taille se fait progressivement, lentement, mais inexorablement. Sa localisation palatine se fait en épargnant la ligne médiane située sur le septum médian du voile. L'imagerie n'est pas significative pour établir un diagnostic ; seule une histopathologie post-biopsie-exérèse permet d'avoir un diagnostic de certitude. Nous rapportons le cas d'une camerounaise, ménagère, âgée de 74 ans, référée au service d'Odontostomatologie de l'hôpital de District de la cité Verte et dont l'état diabétique de type II, a compliqué sa prise en charge.
Pleomorphic adenoma is a benign tumor of the accessory salivary glands, slow growing, progressive and susceptible to degeneration when neglected. Also called mixed tumor because of its dual epithelial and mesenchymal component, it sits electively on the soft veil or on the palatine vault and lip. Objectively, it is in the form of a rounded, painless mass, lifting the mucosa without destroying it, the increase in its size is done gradually, slowly, but inexorably. Its palatine localization is done by sparing the midline located on the median septum of the veil. Imaging is not meaningful for diagnosis; only a post-biopsy-excision histopathology allows to have a diagnosis of certainty. We report the case of a Cameroonian, housewife, and aged 74 years, referred to the Odontostomatology department of the District Hospital of the Green City and whose type II diabetic condition has complicated her care.
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