Dataset Information

Dermoscopic Features of Heterotopic Salivary Gland Tissue in the Neck: Report of a Case.

ABSTRACT:

Introduction

Heterotopic salivary gland tissue (HSGT) is diagnosed when salivary gland tissue is found in areas other than the major or minor salivary glands. No dermoscopic findings of HSGT have been reported.

Case presentation

This case report gives the dermoscopic findings of a 45-year-old woman with HSGT who presented with a longstanding pale red macule on her neck, characterized by repeated clear fluid discharge. Dermoscopic examination showed a red dot with a pale pink halo and telangiectasia throughout the lesion. An excisional biopsy confirmed the diagnosis of HSGT, revealing the presence of mucous and serous salivary glandular structures within subcutaneous fat tissue. It has been reported that HSGT is associated with periductal lymphocytic infiltration, which was also observed in this case.

Conclusion

We think that the "red dot with a pale pink halo" is a unique dermoscopic finding of HSGT, which is rarely observed in branchial anomalies.

SUBMITTER: Inoue S

PROVIDER: S-EPMC10776130 | biostudies-literature | 2024 Jan-Dec

REPOSITORIES: biostudies-literature

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Publications

Dermoscopic Features of Heterotopic Salivary Gland Tissue in the Neck: Report of a Case.

Inoue Shinichiro S Maeda Takuya T Nagata Yuri Y Yanagi Teruki T Ujiie Hideyuki H

Case reports in dermatology 20240109 1

<h4>Introduction</h4>Heterotopic salivary gland tissue (HSGT) is diagnosed when salivary gland tissue is found in areas other than the major or minor salivary glands. No dermoscopic findings of HSGT have been reported.<h4>Case presentation</h4>This case report gives the dermoscopic findings of a 45-year-old woman with HSGT who presented with a longstanding pale red macule on her neck, characterized by repeated clear fluid discharge. Dermoscopic examination showed a red dot with a pale pink halo ...[more]

PMID: 38196704

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Project description:Introduction and importanceSalivary calculi represent the most common salivary gland disease. It can vary significantly in size, ranging from less than 1 mm to several centimeters. As the size of the stone increases, the surgical approach becomes more complex and the function of the gland may be compromised, potentially necessitating total gland removal. Successful outcomes depend on appropriate indications, precise surgical techniques, and comprehensive postoperative care.Case presentationA 50-year-old male presented with a chief complaint of pain and swelling in the submandibular region. The patient reported persistent discomfort in the submandibular area for several weeks. Over the last three weeks, his symptoms had intensified, accompanied by an unpleasant taste in his mouth with pain and swelling, especially during meat time. Clinical examination had shown no salivary secretion observed with tenderness across the Wharton duct. Radiological assessment revealed a large salivary stone obstructing the duct of the submandibular gland, the patient underwent surgery under general anesthesia, and an incision was made over the bulge corresponding to the stone. Dissection proceeded through the mucosa until the duct was accessed. The function of the salivary gland was observed, and the return of salivary secretion was confirmed, which was observed immediately after the surgery, and the patient was discharged 5 days after the surgery.DiscussionThe treatment plans for such cases vary between non-invasive conservative management of sialolithiasis, which includes gland massage (combined with the use of sialogogues and irrigation), and advance aggressive management, which may involve extracorporeal shock-wave lithotripsy, sialoendoscopy, or surgical removal.ConclusionTransoral surgical removal of large stones from the submandibular gland and duct can be an effective and minimally invasive treatment option for sialolithiasis. Proper indications, surgical techniques, and postoperative care are essential for achieving optimal outcomes, minimizing complications, and ensuring successful results.

Dataset Information

Dermoscopic Features of Heterotopic Salivary Gland Tissue in the Neck: Report of a Case.

Introduction

Case presentation

Conclusion

Publications

Dermoscopic Features of Heterotopic Salivary Gland Tissue in the Neck: Report of a Case.

Similar Datasets

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