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

Abstract

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.