A case of large central mucoepidermoid carcinoma in the mandible considered to induce attack of syncope

Central mucoepidermoid carcinoma is an uncommon tumor, accounting for 2% to 3% of all mucoepidermoid carcinomas. Meanwhile, a head and neck tumor rarely causes an attack of syncope. We describe a case of syncope considered to be caused by a large central mucoepidermoid carcinoma in the mandible. A 6...

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Published inJapanese Journal of Oral and Maxillofacial Surgery Vol. 64; no. 9; pp. 545 - 549
Main Authors EGUCHI, Takanori, BASUGI, Akihiko, KANAI, Ikuyo, MIYATA, Yukinaga, HASEBE, Mitsuhiko, HAMADA, Yoshiki
Format Journal Article
LanguageEnglish
Japanese
Published Japanese Society of Oral and Maxillofacial Surgeons 20.09.2018
Subjects
attack of syncope
central mucoepidermoid carcinoma
salivary gland tumor
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Abstract Central mucoepidermoid carcinoma is an uncommon tumor, accounting for 2% to 3% of all mucoepidermoid carcinomas. Meanwhile, a head and neck tumor rarely causes an attack of syncope. We describe a case of syncope considered to be caused by a large central mucoepidermoid carcinoma in the mandible. A 66-year-old man was referred to our clinic to receive treatment for a right mandibular lesion and to determine the cause of repeated attacks of syncope. Computed tomography showed that the right side of the mandible was remarkably expanded, and the parapharyngeal space was compressed by an expanded right mandibular tumor. Tumor biopsy was performed, and a mucoepidermoid carcinoma of the mandible was definitively diagnosed. No evidence of metastasis was evident on positron emission tomography. With the patient under general anesthesia, we performed a right hemimandibulectomy, right neck dissection, and immediate reconstruction using a pectoralis major myocutaneous flap and a reconstruction plate with condyle. We found no evidence of local recurrence or regional and distant metastasis at the 4-year postoperative follow-up. In addition, no attack of syncope occurred after the operation.
AbstractList Central mucoepidermoid carcinoma is an uncommon tumor, accounting for 2% to 3% of all mucoepidermoid carcinomas. Meanwhile, a head and neck tumor rarely causes an attack of syncope. We describe a case of syncope considered to be caused by a large central mucoepidermoid carcinoma in the mandible. A 66-year-old man was referred to our clinic to receive treatment for a right mandibular lesion and to determine the cause of repeated attacks of syncope. Computed tomography showed that the right side of the mandible was remarkably expanded, and the parapharyngeal space was compressed by an expanded right mandibular tumor. Tumor biopsy was performed, and a mucoepidermoid carcinoma of the mandible was definitively diagnosed. No evidence of metastasis was evident on positron emission tomography. With the patient under general anesthesia, we performed a right hemimandibulectomy, right neck dissection, and immediate reconstruction using a pectoralis major myocutaneous flap and a reconstruction plate with condyle. We found no evidence of local recurrence or regional and distant metastasis at the 4-year postoperative follow-up. In addition, no attack of syncope occurred after the operation.
Author MIYATA, Yukinaga
BASUGI, Akihiko
KANAI, Ikuyo
EGUCHI, Takanori
HASEBE, Mitsuhiko
HAMADA, Yoshiki
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SubjectTerms attack of syncope
central mucoepidermoid carcinoma
salivary gland tumor
Title A case of large central mucoepidermoid carcinoma in the mandible considered to induce attack of syncope
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