Overview
Monomorphic adenoma is a benign epithelial neoplasm commonly found in the salivary glands, rarely occurring in oral mucosal sites such as the palate. 1Diagnosis
Histological confirmation required for diagnosis.
Imaging (e.g., CT, MRI) may be used to assess extent and local invasion.
Fine-needle aspiration biopsy can be diagnostic but definitive diagnosis relies on histopathology. 1Management
Surgical excision is the primary treatment modality.
Careful perioperative management is crucial, especially in patients with comorbidities like hemodialysis dependence.
Antibiotic prophylaxis may be necessary to prevent infection, though specific drug classes and doses are not detailed in the abstract. 1Special Populations
Hemodialysis Patients: Requires meticulous management of anemia, hyperkalemia, bleeding risk, and delayed wound healing. Close monitoring and multidisciplinary care are essential. 1Key Recommendations
Perform histological examination for definitive diagnosis of monomorphic adenoma. (Evidence: Moderate) 1
Employ surgical excision as the first-line treatment approach. (Evidence: Expert opinion) 1
In patients with comorbidities like hemodialysis, tailor perioperative care to address specific risks such as bleeding tendency and infection prophylaxis. (Evidence: Expert opinion) 1References
1 Shibata H, Ikemura K, Miyake M. Oral surgery and hemodialysis. International journal of oral surgery 1984. link80053-8)