PT  - JOURNAL ARTICLE
AU  - Shalini Menon
AU  - Kailesh Pujary
AU  - Manna Valiathan
TI  - Dual pathology of the submandibular gland: plasmacytoma and pleomorphic adenoma
AID  - 10.1136/bcr-2013-202463
DP  - 2014 Mar 03
TA  - BMJ Case Reports
PG  - bcr2013202463
VI  - 2014
4099  - http://casereports.bmj.com/content/2014/bcr-2013-202463.short
4100  - http://casereports.bmj.com/content/2014/bcr-2013-202463.full
AB  - Synchronous tumours of different histological types involving the salivary gland are very rare. There have been cases reported in the literature of such tumours occurring in the parotid gland. A 52-year-old man presented with a 4-year history of gradually increasing painless swelling in the right submandibular region. The ultrasound scan of the neck showed features suggestive of a submandibular sialadenitis. The right submandibular gland was then surgically excised and sent for histopathological examination. The features showed a unique dual pathology of the submandibular gland, that is, a plasmacytoma and a pleomorphic adenoma. Such a synchronous double pathology involving the submandibular gland has not been reported in the literature. A review of the literature suggests a good prognosis for the extramedullary plasmacytoma, provided multiple myeloma is ruled out. In 18 months of follow-up, the patient has been asymptomatic with a negative myeloma workup.