Browse > Article

HUGE PLEOMORPHIC ADENOMA OF THE PAROTID GLAND: REPORT OF A CASE  

Ryu, Sun-Youl (Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Science Research Institute, Chonnam National University)
Ryu, Seung-Hee (Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Science Research Institute, Chonnam National University)
Kim, Tae-Hee (Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Science Research Institute, Chonnam National University)
Publication Information
Maxillofacial Plastic and Reconstructive Surgery / v.28, no.3, 2006 , pp. 247-253 More about this Journal
Abstract
Pleomorphic adenoma of the parotid gland typically presents as painless, mobile mass of long duration, and originate in the superficial lobe but, more rarely these tumors may involve the deep lobe of the parotid gland. The average size of a parotid neoplasm is 2 to 4 cm. The effective treatment of parotid pleomorphic adenoma is surgical excision. The simple excision or enucleation resulted in recurrence rate of 45% in benign tumor. Therefore, the superficial parotidectomy with identification and preservation of the facial nerve is now the most widely accepted surgery. We report a case of the huge pleomorphic adenoma of the left parotid gland in a 67-year-old man who complained the large mass, measured about $10\times7\times5$cm-sized, in front of the left ear and on the mandibular ascending ramus. The diagnosis was confirmed by the clinical examination, computed tomographic scan, fine needle aspiration, and incisional biopsy. Superficial parotidectomy including the tumor and preservation of the facial nerve using the modified Blair approach was performed. And satisfactory results have been obtained cosmetically and functionally.
Keywords
Parotid gland; Huge pleomorphic adenoma; Superficial parotidectomy; Preservation of facial nerve;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Maimaris CV, Ball MJ : Treatment of parotid gland tumours by conservative parotidectomy. Br J Surg 73 : 897, 1986   DOI   ScienceOn
2 Ellis E III, Zide MF : Surgical approach to the facial skeleton, 1st ed. Los Angeles, Williams & Wilkins, 1995, p.152
3 Spiro RH, Amstrong J, Harrison L et al : Carcinoma of major salivary glands. Arch Otolaryngol Head Neck Surg 115 : 316, 1989   DOI   ScienceOn
4 Owen ER, Banerjee AK, Kissin M et al : Complications of parotid surgery: the need for selectivity. Br J Surg 76 : 1034, 1989   DOI   ScienceOn
5 Shin SH, Heo J, Kim KH et al : The clinical study on parotid gland tumor. J Kor Oral Maxillofac Surg 26 : 80, 2000
6 Yamashita T, Tomoda K, Kumazawa T : The usefulness of partial parotidectomy for benign parotid gland tumors. A retrospective study of 306 cases. Acta Otolaryngol Suppl 500 : 113, 1993
7 Eneroth CM : Salivary gland tumors in the parotid, submandibular gland, and the palatal region. Cancer 27 : 1415, 1971   DOI   ScienceOn
8 Woods JE, Chong GC, Beahrs OH : Experience with 1,360 primary parotid tumors. Am J Surg 130 : 460, 1975   DOI   ScienceOn
9 Goaz PW, White SC : Oral radiology, 2nd ed. CV Mosby, Washington D.C. 1987, p.350
10 Horn-Ross PL, West DW, Brown SR : Recent trends in the incidence of salivary gland cancer. Int J Epidemiol 20 : 628, 1991   DOI
11 Niparko JK, Beauchamp ML, Krause CJ et al : Surgical treatment of recurrent pleomorphic adenoma of the parotid gland. Arch Otolaryngol Head Neck Surg 112 : 1180, 1986   DOI   ScienceOn
12 Frable MAS, Frable WJ : Fine-needle aspiration biopsy of salivary glands. Laryngoscope 101 : 245, 1991
13 Spiro RH : Salivary neoplasms: Overviews of a 35-year experiences with 2,807 patients. Head Neck Surg 8 : 177, 1986   DOI   ScienceOn
14 Byrne MN, Spector JG, Garvin CF et al : Preoperative Assessment of parotid masses: A comparative evaluation of radiologic techniques to histopathologic diagnosis. Laryngoscope 99 : 284, 1989
15 Leverstein H, Van der Wal JE, Tiwari RM et al : Surgical management of 246 previously untreated pleomorphic adenomas of the parotid gland. Br J Surg 84 : 399, 1997   DOI   ScienceOn
16 Ryu SY, Baek S, Park HJ et al : Necrosis of a parotid gland pleomorphic adenoma: A case report. J Kor Oral Maxillofac Surg 30 : 165, 2004
17 Hanna DC, Gaisford JC, Richardson GS et al : Tumors of the deep lobe of the parotid gland. Am J Surg 116 : 524, 1968   DOI   ScienceOn
18 Myssiorek D, Ruah CB, Hybels RL : Reccurent pleomorphic adenomas of the parotid gland. Head Neck Surg 12 : 332, 1990   DOI   ScienceOn
19 Harney M, Walsh P, Conlon B et al : Parotid gland surgery: A retrospective review of 108 cases. J Laryngol Otol 116 : 285, 2002
20 Laccourreye H, Laccourreye O, Cauchois R et al : Total conservative parotidectomy for primary benign pleomorphic adenoma of the parotid gland: A 25-year experience with 229 patients. Laryngoscope 104 : 1487, 1994