Canalicualr adenoma in buccal space area : a case report

Abstract

Introduction: Canalicular adenoma (CA) is considered a rare benign salivary gland neoplasm, although it was suggested that this lesion has a terminal duct origin. The most common location of this lesion is the upper lip which accounted for 80% of cases, followed by buccal mucosa and palatal area, it presented as a solitary lesion in middle age more in female patients. Case presentation: 75 years old, male, medically fit referred to the oral medicine and pathology clinic because he complaint of right cheek swelling for several years associated with discomfort but no associated pain or increase in the size of the lesion that presented in his cheek, the patient clinical examination revealed hard well-demarcated lesion in buccal area extended up to the zygomatic bone area, lesion can be palpable by using bi digest technique, CT x-ray was done for patient and shows two cystic lesions in right buccal space area, excisional biopsy done and histopathological evaluation revealed the diagnosis was Canalicular adenoma Conclusion: Canalicular adenoma is a benign salivary gland neoplasm that can be presented as solitary or multiple but solitary type more common, usually effect the upper lip and more in female patients with middle age, In our case the lesion presented in buccal mucosa area in male patient above 70 years old, clinical and histopathological evaluation is important to reach the diagnosis, clinical follow up is recommended in such lesion because there is a chance for recurrences