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==Overview==
==Overview==
The hallmark symptom of mucoepidermoid carcinoma is [[painless]] [[swelling]]. A positive history of occupational exposure (rubber products manufacturing) may be suggestive of mucoepidermoid carcinoma tumor. Symptoms related with mucoepidermoid carcinoma will vary depending on the size and location of the tumor. Common symptoms of mucoepidermoid carcinoma may include facial [[numbness]], adjacent muscle [[soreness]], [[mandible]] [[claudication]], [[otorrhea]], [[dysphagia]], and [[trismus]].<ref name="pmid5269211">{{cite journal |vauthors=Eversole LR |title=Mucoepidermoid carcinoma: review of 815 reported cases |journal=J Oral Surg |volume=28 |issue=7 |pages=490–4 |year=1970 |pmid=5269211 |doi= |url=}}</ref>
The hallmark symptom of mucoepidermoid carcinoma is [[painless]] [[swelling]]. A positive history of occupational exposure (rubber products manufacturing) may be suggestive of mucoepidermoid carcinoma tumor. Symptoms related with mucoepidermoid carcinoma will vary depending on the size and location of the tumor. Common symptoms of mucoepidermoid carcinoma may include facial [[numbness]], adjacent muscle [[soreness]], [[mandible]] [[claudication]], [[otorrhea]], [[dysphagia]], and [[trismus]].


==History==
==History==
Many lesions may present as:  
Many lesions may present as: <ref name="BoaheneOlsen2004">{{cite journal|last1=Boahene|first1=Derek Kofi O.|last2=Olsen|first2=Kerry D.|last3=Lewis|first3=Jean E.|last4=Pinheiro|first4=A. Daniel|last5=Pankratz|first5=Vernon Shane|last6=Bagniewski|first6=Stephanie M.|title=Mucoepidermoid Carcinoma of the Parotid Gland|journal=Archives of Otolaryngology–Head & Neck Surgery|volume=130|issue=7|year=2004|pages=849|issn=0886-4470|doi=10.1001/archotol.130.7.849}}</ref><ref name="pmid5269211">{{cite journal |vauthors=Eversole LR |title=Mucoepidermoid carcinoma: review of 815 reported cases |journal=J Oral Surg |volume=28 |issue=7 |pages=490–4 |year=1970 |pmid=5269211 |doi= |url=}}</ref>
 
Usually the presenting complaint of mucoepidermoid carcinoma is an asymptomatic swelling in the floor of the mouth, causing some degree of discomfort.
Usually the presenting complaint of mucoepidermoid carcinoma is an asymptomatic swelling in the floor of the mouth, causing some degree of discomfort.
* A bluish or red purple, fluctuant, smooth surfaced mass that is often clinically mistaken as mucocele.
* A bluish or red purple, fluctuant, smooth surfaced mass that is often clinically mistaken as [[mucocele]].
* The palate was the most common site for minor salivary gland involvement, which accounts for 41.1%
* The [[palate]] was the most common site for minor salivary gland involvement, which accounts for 41.1%
* In other cases the tumour may be incidentally discovered by a dentist.<ref name="pmid12167584">{{cite journal |vauthors=Guzzo M, Andreola S, Sirizzotti G, Cantu G |title=Mucoepidermoid carcinoma of the salivary glands: clinicopathologic review of 108 patients treated at the National Cancer Institute of Milan |journal=Ann. Surg. Oncol. |volume=9 |issue=7 |pages=688–95 |date=August 2002 |pmid=12167584 |doi= |url=}}</ref>
* In other cases the tumour may be incidentally discovered by a dentist.<ref name="pmid12167584">{{cite journal |vauthors=Guzzo M, Andreola S, Sirizzotti G, Cantu G |title=Mucoepidermoid carcinoma of the salivary glands: clinicopathologic review of 108 patients treated at the National Cancer Institute of Milan |journal=Ann. Surg. Oncol. |volume=9 |issue=7 |pages=688–95 |date=August 2002 |pmid=12167584 |doi= |url=}}</ref>


* Mucoepidermoid carcinoma most frequently arise in the parotid gland, with or without facial nerve involvement.  
* Mucoepidermoid carcinoma most frequently arise in the [[parotid gland]], with or without [[facial nerve]] involvement.  
* These tumours can however be found anywhere there are salivary glands.
* These [[Tumor|tumours]] can however be found anywhere there are [[salivary glands]].
*  Overall distribution across various glands is as:   
*  Overall distribution across various glands is as:   
** Major salivary glands : 50%
** Major [[salivary glands]] : 50%
** Parotid gland: 40%
** [[Parotid glands|Parotid gland]]: 40%
** Submandibular gland 7%
** [[Submandibular gland]] 7%
** Sublingual gland 3%
** [[Sublingual gland]] 3%
** Minor salivary glands 50%
** Minor salivary glands 50%
* Palate
* [[Palate]]
** Retromolar area
** Retromolar area
** Floor of the mouth
** Floor of the mouth
** Buccal mucosa
** [[Buccal mucosa]]
** Lip
** [[Lip]]
** Tongue
** [[Tongue]]
** Anywhere in the proximal aerodigestive tract
** Anywhere in the [[proximal]] aerodigestive tract
** The lacrimal glands  
** The [[lacrimal glands]]
** Someimes in the bronchi.  
** Someimes in the [[Bronchi|bronchi.]]
*Obtaining a complete and detailed history is an important aspect of diagnosing mucoepidermoid carcinoma. Specific areas of focus when obtaining the history include:
*Obtaining a complete and detailed history is an important aspect of diagnosing mucoepidermoid carcinoma. Specific areas of focus when obtaining the history include:
:*Symptoms: duration, onset, and progression
:*Symptoms: duration, onset, and progression
:*Previous exposure to risk factors such as: rubber products manufacturing and asbestos mining
:*Previous exposure to risk factors such as: rubber products manufacturing and [[asbestos]] mining
:*Ionizing radiation
:*[[Ionizing radiation]]


==Symptoms==
==Symptoms==
*The majority of mucoepidermoid carcinomas are asymptomatic and are usually found incidentally.
*The majority of mucoepidermoid carcinomas are asymptomatic and are usually found incidentally.<ref name="pmid17858687">{{cite journal |vauthors=Stewart FW, Foote FW, Becker WF |title=Muco-Epidermoid Tumors of Salivary Glands |journal=Ann. Surg. |volume=122 |issue=5 |pages=820–44 |date=November 1945 |pmid=17858687 |pmc=1618293 |doi= |url=}}</ref>
* Neurological signs, such as numbness or weakness caused by nerve involvement.
* [[Neurological|Neurological signs]], such as [[numbness]] or [[weakness]] caused by [[nerve]] involvement.
* The hallmark of mucoepidermoid carcinomas is a painless growing [[swelling]].
* The hallmark of mucoepidermoid carcinomas is a painless growing [[swelling]].
* Other symptoms of mucoepidermoid carcinoma may include:
* Other symptoms of mucoepidermoid carcinoma may include:
:* Pain
:* [[Pain]]
:* Trouble with dental prosthesis retention
:* Trouble with dental [[prosthesis]] retention
:* Tongue numbness.
:* [[Tongue]] [[numbness]]


:*Adjacent muscle soreness
:*Adjacent muscle soreness
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:*[[Trismus]]
:*[[Trismus]]
:*[[Tinnitus]]
:*[[Tinnitus]]
:*Pain during mastication
:*[[Pain]] during mastication
:*Facial [[numbness]]  
:*Facial [[numbness]]  
:*Mandible [[claudication]]
:*[[Mandible]] [[claudication]]


==References==
==References==

Latest revision as of 17:48, 17 January 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Badria Munir M.B.B.S.[2] , Maria Fernanda Villarreal, M.D. [3]

Overview

The hallmark symptom of mucoepidermoid carcinoma is painless swelling. A positive history of occupational exposure (rubber products manufacturing) may be suggestive of mucoepidermoid carcinoma tumor. Symptoms related with mucoepidermoid carcinoma will vary depending on the size and location of the tumor. Common symptoms of mucoepidermoid carcinoma may include facial numbness, adjacent muscle soreness, mandible claudication, otorrhea, dysphagia, and trismus.

History

Many lesions may present as: [1][2]

Usually the presenting complaint of mucoepidermoid carcinoma is an asymptomatic swelling in the floor of the mouth, causing some degree of discomfort.

  • A bluish or red purple, fluctuant, smooth surfaced mass that is often clinically mistaken as mucocele.
  • The palate was the most common site for minor salivary gland involvement, which accounts for 41.1%
  • In other cases the tumour may be incidentally discovered by a dentist.[3]
  • Symptoms: duration, onset, and progression
  • Previous exposure to risk factors such as: rubber products manufacturing and asbestos mining
  • Ionizing radiation

Symptoms

  • The majority of mucoepidermoid carcinomas are asymptomatic and are usually found incidentally.[4]
  • Neurological signs, such as numbness or weakness caused by nerve involvement.
  • The hallmark of mucoepidermoid carcinomas is a painless growing swelling.
  • Other symptoms of mucoepidermoid carcinoma may include:

References

  1. Boahene, Derek Kofi O.; Olsen, Kerry D.; Lewis, Jean E.; Pinheiro, A. Daniel; Pankratz, Vernon Shane; Bagniewski, Stephanie M. (2004). "Mucoepidermoid Carcinoma of the Parotid Gland". Archives of Otolaryngology–Head & Neck Surgery. 130 (7): 849. doi:10.1001/archotol.130.7.849. ISSN 0886-4470.
  2. Eversole LR (1970). "Mucoepidermoid carcinoma: review of 815 reported cases". J Oral Surg. 28 (7): 490–4. PMID 5269211.
  3. Guzzo M, Andreola S, Sirizzotti G, Cantu G (August 2002). "Mucoepidermoid carcinoma of the salivary glands: clinicopathologic review of 108 patients treated at the National Cancer Institute of Milan". Ann. Surg. Oncol. 9 (7): 688–95. PMID 12167584.
  4. Stewart FW, Foote FW, Becker WF (November 1945). "Muco-Epidermoid Tumors of Salivary Glands". Ann. Surg. 122 (5): 820–44. PMC 1618293. PMID 17858687.