Polymorphous Low-Grade Adenocarcinoma of the Tongue Base Treated by Transoral Robotic Surgery
Polymorphous low-grade adenocarcinoma is a rare malignancy arising from the minor salivary glands in the aerodigestive system, most frequently the hard palate. The treatment of choice is wide surgical resection, and the efficacy of radiotherapy has not been confirmed. A 54-year-old male presenting w...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2015/981436 |
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| author | Jeong Hong Kim Chang Lim Hyun Gil Chai Lim |
| author_facet | Jeong Hong Kim Chang Lim Hyun Gil Chai Lim |
| author_sort | Jeong Hong Kim |
| collection | DOAJ |
| description | Polymorphous low-grade adenocarcinoma is a rare malignancy arising from the minor salivary glands in the aerodigestive system, most frequently the hard palate. The treatment of choice is wide surgical resection, and the efficacy of radiotherapy has not been confirmed. A 54-year-old male presenting with a mass at the base of the tongue performed transoral laser microsurgery. The pathologic diagnosis was polymorphous low-grade adenocarcinoma. Complete surgical excision was performed via transoral robotic surgery without a flap reconstruction of the surgical defect. Without complications of bleeding or injury to the hypoglossal nerve, proper surgical margins were obtained, and no recurrence was found after 6 months after surgery. The patient did not complain of dysphagia or aspiration. We conclude that, in surgery for tongue base tumors with unknown malignant potential, transoral robotic surgery can be considered for achieving a definite resection avoiding a mandibulotomy without complications of dysphagia or aspiration after confirmation of malignancy with a frozen biopsy. |
| format | Article |
| id | doaj-art-9fdb7afba9bb4e3fa17fdbd8adc16ecf |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-9fdb7afba9bb4e3fa17fdbd8adc16ecf2025-02-03T01:25:35ZengWileyCase Reports in Otolaryngology2090-67652090-67732015-01-01201510.1155/2015/981436981436Polymorphous Low-Grade Adenocarcinoma of the Tongue Base Treated by Transoral Robotic SurgeryJeong Hong Kim0Chang Lim Hyun1Gil Chai Lim2Department of Otolaryngology Head-Neck Surgery, Jeju National University School of Medicine, Jeju City 690-767, Republic of KoreaDepartment of Pathology, Jeju National University School of Medicine, Jeju City 690-767, Republic of KoreaDepartment of Otolaryngology Head-Neck Surgery, Jeju National University School of Medicine, Jeju City 690-767, Republic of KoreaPolymorphous low-grade adenocarcinoma is a rare malignancy arising from the minor salivary glands in the aerodigestive system, most frequently the hard palate. The treatment of choice is wide surgical resection, and the efficacy of radiotherapy has not been confirmed. A 54-year-old male presenting with a mass at the base of the tongue performed transoral laser microsurgery. The pathologic diagnosis was polymorphous low-grade adenocarcinoma. Complete surgical excision was performed via transoral robotic surgery without a flap reconstruction of the surgical defect. Without complications of bleeding or injury to the hypoglossal nerve, proper surgical margins were obtained, and no recurrence was found after 6 months after surgery. The patient did not complain of dysphagia or aspiration. We conclude that, in surgery for tongue base tumors with unknown malignant potential, transoral robotic surgery can be considered for achieving a definite resection avoiding a mandibulotomy without complications of dysphagia or aspiration after confirmation of malignancy with a frozen biopsy.http://dx.doi.org/10.1155/2015/981436 |
| spellingShingle | Jeong Hong Kim Chang Lim Hyun Gil Chai Lim Polymorphous Low-Grade Adenocarcinoma of the Tongue Base Treated by Transoral Robotic Surgery Case Reports in Otolaryngology |
| title | Polymorphous Low-Grade Adenocarcinoma of the Tongue Base Treated by Transoral Robotic Surgery |
| title_full | Polymorphous Low-Grade Adenocarcinoma of the Tongue Base Treated by Transoral Robotic Surgery |
| title_fullStr | Polymorphous Low-Grade Adenocarcinoma of the Tongue Base Treated by Transoral Robotic Surgery |
| title_full_unstemmed | Polymorphous Low-Grade Adenocarcinoma of the Tongue Base Treated by Transoral Robotic Surgery |
| title_short | Polymorphous Low-Grade Adenocarcinoma of the Tongue Base Treated by Transoral Robotic Surgery |
| title_sort | polymorphous low grade adenocarcinoma of the tongue base treated by transoral robotic surgery |
| url | http://dx.doi.org/10.1155/2015/981436 |
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