Management of a Buccal Space Mass: A Clinical Case Report.

IF 0.4 Q4 OTORHINOLARYNGOLOGY Case Reports in Otolaryngology Pub Date : 2020-12-14 eCollection Date: 2020-01-01 DOI:10.1155/2020/6828453
Alexander Karatzanis, Stylianos Velegrakis, Georgia Liva, Dionysios Kyrmizakis, Emmanuel Prokopakis
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Abstract

Background: Buccal space tumors constitute rare pathologies with significant histological diversity. They may pose serious diagnostic and therapeutic challenges for the head and neck surgeon.

Methods: A case of buccal space tumor diagnosed and treated in a tertiary center is presented. Clinical presentation, imaging, and surgical approach are discussed, followed by review of the literature.

Results: A 79-year-old male patient with a slowly growing painless mass on the right cheek presented to a head and neck reference center. Imaging revealed a tumor of the right buccal space with nonspecific characteristics. Imaging studies revealed extended infiltration of the masseter muscle as well as the anterior border of the parotid gland. FNA biopsy was performed but was nondiagnostic. The decision of surgical excision with a modified parotidectomy incision was taken. The lesion was completely excised with preservation of neighboring facial nerve branches and ipsilateral Stensen's duct. The postoperative course was uneventful. Histological examination showed CLL/Lymphoma, and the patient was referred to the hematology department for staging and further management.

Conclusion: Differential diagnosis of buccal space masses is very diverse. Despite challenges in the diagnostic and therapeutic approach, these entities may be managed surgically with minimal morbidity.

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颊间隙肿块的处理:1例临床报告。
背景:颊间隙肿瘤是一种罕见的病理,具有显著的组织学多样性。它们可能对头颈部外科医生构成严重的诊断和治疗挑战。方法:报告1例经三级中心诊治的颊间隙肿瘤。我们将讨论临床表现、影像学和手术入路,然后回顾文献。结果:一名79岁男性患者,右脸颊有缓慢生长的无痛性肿块,来到头颈部参考中心。影像学显示右侧颊间隙肿瘤,无特异性特征。影像学检查显示咬肌及腮腺前缘有广泛浸润。行FNA活检,但未确诊。决定采用改良的腮腺切除切口进行手术切除。病变被完全切除,保留了邻近的面神经分支和同侧斯坦森管。术后过程平淡无奇。组织学检查显示为CLL/淋巴瘤,患者被转诊到血液科进行分期和进一步治疗。结论:颊间隙肿块的鉴别诊断非常多样化。尽管在诊断和治疗方法方面存在挑战,但这些实体可以通过手术以最小的发病率进行管理。
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来源期刊
Case Reports in Otolaryngology
Case Reports in Otolaryngology OTORHINOLARYNGOLOGY-
自引率
0.00%
发文量
20
审稿时长
13 weeks
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