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September 1944


Author Affiliations

First Assistant in Laryngology, Oral and Plastic Surgery, Mayo Clinic ROCHESTER, MINN.
From the Section on Laryngology, Oral and Plastic Surgery, Mayo Clinic.

Arch Otolaryngol. 1944;40(3):175-176. doi:10.1001/archotol.1944.00680020229006

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Tumor arising in Stensen's or in Wharton's duct is rare. A review of the literature has failed to reveal any reports of a tumor primary in either of these situations. In all probability the condition is not as unusual as this fact might indicate, however, for one fairly frequently encounters in the floor of the mouth a malignant neoplasm that is too far advanced to permit of recognition of the site of origin. Two cases of adenocarcinoma of the main salivary ducts have come under our observation in recent years. In addition two inflammatory nodules occurring without associated salivary calculi have been encountered in these structures. Clinically the latter nodules were indistinguishable from true neoplasms.

The symptoms complained of in the cases of true neoplasm were not uniform. In one case they were those characteristic of recurring obstruction of Stensen's duct. Sudden pain with tenderness and swelling in the parotid

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