Diagnóstico postquirúrgico de Carcinoma Acinar gigante de glándula sublingual: Caso clínico

MASKANA

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Title Diagnóstico postquirúrgico de Carcinoma Acinar gigante de glándula sublingual: Caso clínico
Post-surgical diagnosis of giant acinar carcinoma of the sublingual gland: Case report
 
Creator Serrú-Estévez, Aníbal
Martín-Suárez, Yulia
Guevara-Olazábal, Frank
 
Description El Carcinoma de Células Acinares de glándulas salivales es un tumor de bajo grado de malignidad que constituye entre el 3-17% de los tumores malignos de glándulas salivales en general. Su aparición es más frecuente en la glándula parótida, pero es extremadamente rara en la glándula sublingual y aún más con ránula cervical siendo reportados en la literatura hasta el momento solo muy pocos casos a nivel mundial en dicha localización. El objetivo fue describir una paciente anciana enferma con una tumoración sublingual y cervical agresiva con un diagnóstico postquirúrgico definitivo de Carcinoma Acinar gigante de glándula sublingual con ránula cervical. El caso trata de una paciente femenina, de 87 años de edad, blanca, con antecedentes personales de mastectomía radical por Carcinoma Ductal de la mama izquierda, sin antecedentes patológicos familiares y sin hábitos tóxicos con historia clínica de haber sido atendida durante varios meses en centros no especializados por tumoración sublingual con empeoramiento clínico progresivo y divergencias diagnósticas relevantes. La paciente fue diagnosticada y tratada quirúrgicamente y se recuperó exitosamente, no obstante, el retraso en el diagnóstico y tratamiento certeros de los tumores malignos de glándulas salivales causados por la atención inicial de los pacientes en instituciones hospitalarias no especializadas en el tratamiento de las mismas debe ser fortalecido en vista a disminuir el tiempo y evitar tratamientos inadecuados por errores diagnósticos.
Salivary gland acinar cell carcinoma is a tumor with a low grade of malignancy that makes up between 3-17% of tumors of salivary glands in general. Its appearance is more frequent in the parotid gland, but it is extremely rare in the sublingual gland and even more with cervical ranula, being reported in the literature so far only very few cases worldwide with such location. The goal was to describe a sick elderly patient with an aggressive sublingual and cervical tumor with a definitive post-surgical diagnosis of giant acinar carcinoma of sublingual gland with cervical ranula. The case involves a white female patient, 87-year-old, with a personal history of radical mastectomy by Ductal Carcinoma of the left breast, no family pathological history and no toxic habits with a medical history of having been attended for several months in non-specialized centers by a sublingual tumor with progressive clinical worsening and relevant diagnostic divergences. The patient was diagnosed and treated surgically and successfully recovered, however, the delay in the accurate diagnosis and treatment in malignant salivary gland tumors caused by the initial care of patients in hospital institutions non-specialized in the treatment of salivary glands should be strengthened in view of decreasing time and avoiding inadequate treatments by diagnostic errors.
 
Publisher Universidad de Cuenca
 
Date 2020-06-14
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
 
Format application/pdf
application/epub+zip
text/plain
 
Identifier https://publicaciones.ucuenca.edu.ec/ojs/index.php/maskana/article/view/3161
10.18537/mskn.11.01.07
 
Source Maskana; Vol 11 No 1 (2020); 69-73
Maskana; Vol. 11 Núm. 1 (2020); 69-73
2477-8893
1390-6143
10.18537/mskn.11.01
 
Language spa
 
Relation https://publicaciones.ucuenca.edu.ec/ojs/index.php/maskana/article/view/3161/2307
https://publicaciones.ucuenca.edu.ec/ojs/index.php/maskana/article/view/3161/2405
https://publicaciones.ucuenca.edu.ec/ojs/index.php/maskana/article/view/3161/2406
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Rights Derechos de autor 2020 Aníbal Serrú-Estévez, Yulia Martín-Suárez, Frank Guevara-Olazábal
http://creativecommons.org/licenses/by/4.0
 

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