DOI: 10.36347/sjams.2017.v05i12.011

Pages: 4832-4835

Basal cell adenocarcinoma (BCAC) of salivary gland is rare low-grade carcinoma, accounting for 1.6% of salivary gland tumors, tends to affect the major salivary glands. Its incidence in minor salivary gland is extremely rare, with palate being the most common site of its occurrence. To our knowledge only 72 cases of minor salivary gland BCAC have been reported. In which only 13 cases were reported from buccal mucosa. Here we report a rare case of BCAC of minor salivary gland arising from buccal mucosa. A 36 years female presented with swelling in mucosal surface of left cheek for one year. Biopsy was suggestive of basal cell adenoma. MRI showed lesion in left buccal mucosa close to mandible with no intra oral extension. Wide local excision was done. The HPE revealed basal cell adenocarcinoma of buccal mucosa and tumor margins were negative. The patient had uneventful postoperative recovery and was subjected to adjuvant radiotherapy. BCAC are low grade, slow growing, locally destructive, tends to recur and rarely metastasizing tumour. Wide local excision is the primary treatment. Neck dissection is recommended only in the presence of definitive lymphadenopathy. BCAC usually have favourable prognosis because of its low-grade nature and low metastatic potential.