ADOPA
Publicado: 20-08-2025
DOI: https://doi.org/10.58994/adopa.v3i2.76
Sialoblastoma submandibular en un recién nacido: reporte de caso y enfoque quirúrgico
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Resumen
El sialoblastoma es un tumor poco frecuente de las glándulas salivales, raramente diagnosticado en la infancia, que se presenta generalmente en los primeros meses de vida. Este reporte describe un caso de sialoblastoma en un recién nacido de 18 días de edad, que presentó una masa en la región facial derecha, con un crecimiento progresivo. Tras la realización de un ultrasonido cervical, se identificó una adenopatía submaxilar derecha, lo que llevó a la decisión de realizar una sialoadenectomía submandibular derecha bajo anestesia general. La cirugía fue exitosa, y el informe patológico confirmó la presencia de un tumor compuesto mayormente por nidos de células basaloides. Aunque los sialoblastomas pueden presentar recurrencias locales o metástasis, el pronóstico para los casos diagnosticados y tratados tempranamente es generalmente favorable. Este caso subraya la importancia de un diagnóstico temprano y una intervención quirúrgica adecuada para mejorar los resultados en pacientes pediátricos.
Sialoblastoma is a rare tumor of the salivary glands, rarely diagnosed in infancy, usually presenting in the first months of life. This report describes a case of sialoblastoma in an 18-day-old newborn, who presented with a progressively growing mass in the right facial region. A cervical ultrasound identified a right submandibular adenopathy, leading to the decision to perform a right submandibular sialodenectomy under general anesthesia. The surgery was successful, and the pathology report confirmed the presence of a tumor composed mostly of basaloid cell nests. Although sialoblastomas may present local recurrences or metastases, the prognosis for cases diagnosed and treated early is generally favorable. This case underscores the importance of early diagnosis and appropriate surgical intervention to improve outcomes in pediatric patients.
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