378 - Incidental Discovery of Pleomorphic Adenoma in a 7-Year-Old Patient During Routine Dental Examination: A Rare Case

Introduction:  Pleomorphic adenoma is the most prevalent benign tumor of the salivary glands, typically affecting adults in their fourth to sixth decades of life. Its occurrence in pediatric patients is exceptionally rare, which presents unique diagnostic and therapeutic challenges.

Case Report:  This report describes a 7-year-old female who presented to the UCONN Pediatric Dental Clinic for a routine 6-month recall examination. During the clinical assessment, an abnormal soft tissue mass was identified on the right side of the palate. The patient was asymptomatic, reporting no pain, discomfort, swelling, or asymmetry. Her medical history was notable for snoring and enlarged adenoids, with no significant medication history or allergies. Physical examination revealed a well-defined, non-tender, non-fluctuant intraoral swelling measuring 2.3 x 1.8 x 2.3 cm, extending to the soft palate junction. A referral to UCONN OMFS was made for further evaluation. Radiographic imaging demonstrated smooth remodeling of the hard palate, without evidence of aggressive features or osseous destruction. An incisional biopsy under intravenous sedation was performed, and histopathological analysis confirmed the diagnosis of pleomorphic adenoma.

This case report will provide a comprehensive discussion of the clinical presentation, histological findings, differential diagnoses, and the multidisciplinary management approach in the treatment of pleomorphic adenoma in a pediatric patient.

Identify Supporting Agency and Grant Number: