Polymorphous low-grade adenocarcinoma (PLGA) is rare in the Japanese population and it shows low-grade malignancy.
We report a case of PLGA arising in the cheek.
The patient was a 48-year-old female, who noticed a painless tumor of the right side of the cheek in 1985. She was referred to our clinic and presented in August 2001.
The tumor was elastic soft, well-demarcated, measuring 2.0×1.7 cm, and a mucosal ulcer was recognized in the central portion of the tumor. Biopsy was performed and the histopathological diagnosis was pleomorphic adenoma (PA). The tumor grew during three years without follow-up. In November 2004, we performed surgical excision with 0.5cm wide margins through an intraoral approach and reconstructed the surgical defects using full-thickness skin grafts from the groin.
Non-encapsulated and infiltrative growth of the tumor was observed by examination of the whole specimen and a definitive diagnosis of PLGA was made.
There have been no signs of recurrence or metastasis in the follow-up.
Because of histopathological similarities among PLGA, PA and adenoid cystic carcinoma, it is necessary to diagnose these tumors carefully.
The first choice of treatment for PLGA is wide surgical excision.
View full abstract