Kuttner's tumor

Kuttner's Tumor or Chronic Sclerosing Sialadenitis is a rare, benign condition that primarily affects the salivary glands, particularly the submandibular gland. It was first described by Hermann Kuttner in 1896, hence the name Kuttner's Tumor.

Etiology

The exact cause of Kuttner's Tumor is unknown. However, it is believed to be an autoimmune disease, where the body's immune system mistakenly attacks its own tissues. Some researchers suggest that it may be associated with IgG4-related disease, a systemic condition characterized by tissue inflammation and fibrosis.

Clinical Presentation

Patients with Kuttner's Tumor typically present with a firm, painless swelling in the submandibular gland region. The swelling may be unilateral or bilateral. Other symptoms may include xerostomia (dry mouth), dysphagia (difficulty swallowing), and discomfort during eating.

Diagnosis

Diagnosis of Kuttner's Tumor is often challenging due to its rarity and non-specific clinical presentation. It is usually confirmed through a combination of physical examination, imaging studies such as ultrasound or computed tomography (CT) scan, and histopathological examination of the gland tissue obtained through fine needle aspiration or surgical biopsy.

Treatment

The primary treatment for Kuttner's Tumor is surgical removal of the affected salivary gland, known as sialadenectomy. In some cases, corticosteroid therapy may be used to reduce inflammation and swelling.

Prognosis

The prognosis for Kuttner's Tumor is generally good, as it is a benign condition. However, it can cause significant morbidity due to its impact on salivary gland function and potential complications from surgery.

See Also

• Salivary gland diseases
• Benign tumor
• Autoimmune diseases