Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
권호 표지
DOI QR코드

DOI QR Code

Minimally Invasive Surgery in a Pediatric Palatal Plasmacytoid Myoepithelioma

소아의 구개부에 발생한 plasmacytoid myoepithelioma의 최소 침습적 제거술

  • Nam, Okhyung (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University) ;
  • Lee, Baeksoo (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyung Hee University) ;
  • Lee, Sooeon (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University) ;
  • Kim, Kwangchul (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital at Gangdong) ;
  • Choi, Sungchul (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University)
  • 남옥형 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 이백수 (경희대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 이수언 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 김광철 (강동경희대학교병원 치과병원 소아치과) ;
  • 최성철 (경희대학교 치의학전문대학원 소아치과학교실)
  • Received : 2015.04.13
  • Accepted : 2015.05.13
  • Published : 2016.02.29
Download PDF
⟨ Previous Next ⟩

Abstract

Myoepithelioma is a rare disease in the salivary gland. Myoepithelioma is more common in adults than in children or adolescents. An 8-years-old female patient visited our clinic with a chief complaint of a painless swelling on the palate. Conservative treatment that preserves the overlaying palatal mucosa while surgically excising the tumor was carried out under general anesthesia, because the patient was young and the size of the tumor was relatively large. The surgical wound healed well and there had not been any sign of recurrence during the regular follow-up period of 40 months. Minimally invasive surgical treatment which preserves peripheral palatal tissue can be useful in a pediatric myoepithelioma.

Myoepithelioma는 타액선에 발생하는 드문 질환이다. Myoepithelioma는 소아 및 청소년보다 성인에서 호발한다. 구개부의 종창을 주소로 8세 여환이 본원으로 내원하였다. 환아의 나이와 상대적으로 큰 종양의 크기를 고려하여, 전신 마취 하에 구개부 점막 조직을 보존하는 보존적인 외과적 절제술이 시행되었다. 수술 부위의 치유가 적절히 일어났으며, 40개월의 관찰기간 동안 재발되지 않았다. 주변의 구개부 조직을 보존하는 최소 침습적 제거술은 소아에서 발생되는 myoepithelioma의 치료시 유용할 것으로 사료되었다.

Keywords

References

  1. Lins JEW, Gnepp DR : Myoepithelioma of the palate in a child. Int J Pediatr Otorhinolaryngol, 11:5-13, 1986. https://doi.org/10.1016/S0165-5876(86)80022-2
  2. Cuadra ZF, Quezada RD, Gaitan CLA, et al. : Plasmacytoidmyoepithelioma of the palate. Report of one case and review of the literature. Med Oral Patol Oral Cir Bucal, 12:552-555, 2007.
  3. Nwoku AL, Al-Shlash S, Al-Atel A : Pediatric myoepithelioma of the palate. Saudi Med J, 26:999-1002, 2005.
  4. Perez DE, Lopes MA, Kowalski LP, et al. : Plasmacytoid myoepithelioma of the palate in a child. Int J Paediatr Dent, 17:223-227, 2007. https://doi.org/10.1111/j.1365-263X.2006.00785.x
  5. Dardick I : Myoepithelioma: definitions and diagnostic criteria. Ultrastruct Pathol, 19:335-345, 1995. https://doi.org/10.3109/01913129509021906
  6. Alos L, Cardesa A, Traserra J, et al. : Myoepithelial tumors of salivary glands: a clinicopathologic, immunohistochemical, ultrastructural, and flowcytometric study. Semin Diagn Pathol, 13:138-147, 1996.
  7. Hunt KT, Stevens MR, Abdelsayed RA, Nquyen CT : Benign myoepithelioma of floor of mouth with mandibular involvement: a case report and literature review. J Oral Maxillofac Surg, 69:3001-3005, 2011. https://doi.org/10.1016/j.joms.2010.12.034
  8. Yaman H, Gerek M, Arslan HH, et al. : Myoepithelioma of the parotid gland in a child: a case report. J Pediatr Surg, 45:5-7, 2010.
  9. Molumi CP, Dubey SP, Apaio ML : Preservation of palatal mucoperiosteum for oronasal separation after total maxillectomy. Indian J Cancer, 49:209-214, 2012. https://doi.org/10.4103/0019-509X.102862
  10. Ishikawa H, Iwasaki H, Yamamoto K, et al. : Dentoalveolar growth inhibition induced by bone denudation on palates: a study of two isolated cleft palates with asymmetric scar tissue distribution. Cleft Palate Craniofac J, 36:450-456, 1999. https://doi.org/10.1597/1545-1569(1999)036<0450:DGIIBB>2.3.CO;2
  11. Park TH, Seo SW : Diagnostic challenges of myoepithelioma arising from a minor salivary gland. J Oral Maxillofac Surg, 69:2830-2832, 2011. https://doi.org/10.1016/j.joms.2011.03.003