LARGE DIMENSION SIALOLITH EXCISION IN THE SUBMANDIBULAR GLAND: CASE REPORT

• Published in: Oral surgery, oral medicine, oral pathology and oral radiology Vol. 134; no. 3; p. e177
• Main Authors: Leite, Ingrid Ferreira, Panjwani, Camila Maria Beder Ribeiro Girish, De Oliveira, Catarina Rodrigues Rosa, Bastos, Yann Victor Paiva, Gomes, Maria Fernanda Carneiro, De Melo Franco, Aurea Valéria, Ferreira, Sonia Maria Soares
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 01-09-2022
• ISSN: 2212-4403; 2212-4411
• DOI: 10.1016/j.oooo.2022.01.514

Sialolithiasis is the most common glandular alteration, characterized by the deposition of a calcified tissue, sialolith, in the glandular structures. We report the case of a 65-year-old male patient who was diagnosed 1 month ago with high-grade villous tubular adenoma in the sigmoid colon and noticed a swelling in the buccal floor region. Clinically, there was an increase in volume in the left submandibular region, fixed, hardened, with a smooth surface, and painful on palpation. On intraoral examination, a nodular lesion was observed on the left oral floor, normochromic, firm, with a smooth surface. The clinical hypotheses were sialolith, metastasis, and salivary gland neoplasia. The tomographic sections showed the presence of a sialolith occupying the entire length of the duct, measuring approximately 4.8 × 1.3 cm. Excisional biopsy was performed and histopathologic analysis revealed a mineralized fragment compatible with a sialolith. The case has been under follow-up for 5 months without recurrence.