Management of a labial pleomorphic adenoma in the odontostomatology department of the Idrissa Pouye General Hospital in Dakar

Khadim SECK,*
Bintou Catherine GASSAMA,
Mamadou DIATTA,
Mouhammad KANE,
Abdou BA,
Babacar TAMBA,
Soukèye DIA TINE

Abstract

Pleomorphic adenoma of the salivary glands ( formerly called mixed tumor ) represents 60% of oral salivary tumors . The accessory salivary glands have their preferential location at the palate , the lips of the cheek and the oropharynx. At the level of the lips , this tumor most often affects the right upper lip . We report a case of pleomorphic adenoma of the right upper lip evolving for more than 4 years in a 70-year-old melanoderm patient who was referred to the odontostomatology department of the Idrissa Pouye General Hospital (HOGIP). The swelling was large, slightly exceeding the midline of the upper lip . The swelling measured approximately 20 cm from its long axis. It was firm , painless and did not bleed on contact and covered with a healthy-looking mucosa . The management was surgical under local anesthesia and the postoperative course was simple. Histological analysis specified that it was a well-limited nodular lesion , corresponding to a mixed epithelial and mesenchymal proliferation with a thin capsule in favor of a pleomorphic adenoma . No recurrence was observed 4 months after the operation .