Sialoadenitis Crónica Esclerosante en un Paciente Geriátrico

Abstract

Chronic sclerosing sialadenitis or Küttner tumor (TK) is a benign lesion pseudotumor, first described in 1896, which predominantly affects submandibular salivary glands. Clinically, it presents as painless slow growing mass sometimes accompanied by painful swallowing. More than a century of its original description, the TK remains an under-recognized and often diagnosed as "benign lesion Lymphoepithelial", "Sjögren's syndrome" or "low-grade lymphoma" entity. Although some authors consider it a rare entity; Salivary Gland registration of Hamburg in Germany, performed for 25 years with a total of 1,004 cases, the TK recognized as the most common lesion of the submandibular gland. It is in rare geriatric patients. The following case is a male patient 78 years old, born in Quito and resident in bathrooms, complete higher education, with APP prostate cancer, hypertension, a month after extraction of tooth, presents edema level left maxillary region, type twinge pain in the left maxillary region, this middle effort dyspnea, dysphagia to solids, sore throat, cough accompanied by expectoration greenish yellow in abundant quantity, the physical examination TA 135/85 mmHg, FC 89 lpm, FR 21 rpm, SPO2 86%, FIO2 27%; generalized pallor, hipofonética voice, neck presence of enlarged cervical lymph size, edema left maxillary, lungs decreased breath sounds, crackles scattered in both lungs, panoramic radiography is carried reports radicular remains of right jaw; skull tomography presence of left submandibular mass displacing element floor of the mouth and hypopharynx; Histopathological with chronic sclerosing sialadenitis report.