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Case Reports in Otolaryngology
Volume 2014, Article ID 608267, 5 pages
http://dx.doi.org/10.1155/2014/608267
Case Report

Diagnostic Challenge of a Deep Minor Salivary Gland Neoplasm

1Department of Oral Pathology, Dental School, Universidade Federal do Rio Grande do Sul, Ramiro Barcelos 2492, 90035-003 Porto Alegre, RS, Brazil
2Department of Oral Medicine, Hospital de Clínicas de Porto Alegre (HCPA/UFRGS), Ramiro Barcelos 2350, 90035-903 Porto Alegre, RS, Brazil
3Department of Otolaryngology-Head and Neck Surgery, Hospital de Clínicas de Porto Alegre (HCPA/UFRGS), Ramiro Barcelos 2350, 90035-903 Porto Alegre, RS, Brazil
4Departement of Radiology, Hospital de Clínicas de Porto Alegre (HCPA/UFRGS), Ramiro Barcelos 2350, 90035-903 Porto Alegre, RS, Brazil

Received 14 March 2014; Accepted 19 May 2014; Published 9 June 2014

Academic Editor: Dimitrios G. Balatsouras

Copyright © 2014 Vivian P. Wagner et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Core needle biopsy represents a safe and cheap alternative diagnostic method to open biopsy and fine-needle aspiration cytology in head and neck tumors. There is little evidence in the literature about the use of core needle biopsy in minor salivary gland lesions. This single case report presents a 60-year-old woman with a painless swelling in the soft palate, breathing and swallowing difficulties, and a feeling of suffocation. Two open biopsies had inconclusive diagnosis and the lesion could only be assessed and diagnosed as pleomorphic adenoma through core needle biopsy. Recognizing the correct indication of core needle biopsy can benefit both health professionals and patients; thus, it is important to consider the possibility of performing this method to diagnose minor salivary gland tumors.