GIANT PLEOMORPHIC ADENOMA OF THE SALIVARY GLAND – CASE REPORT
Salivary gland pathology is a main issue in maxillofacial surgery. Pleomorphic adenoma or mixed tumor is the most common type of salivary gland tumor, representing almost two thirds, 85% involving parotid gland. This benign tumor with slow and continous, asymptomatic growth can sometimes reach an...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Romanian Dental Association for Education
2014-07-01
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| Series: | Romanian Journal of Medical and Dental Education |
| Subjects: | |
| Online Access: | http://journal.adre.ro/adenom-pleomorf-parotidian-gigant-prezentare-de-caz-2/ |
| Summary: | Salivary gland pathology is a main issue in maxillofacial surgery. Pleomorphic adenoma or mixed tumor is the
most common type of salivary gland tumor, representing almost two thirds, 85% involving parotid gland. This
benign tumor with slow and continous, asymptomatic growth can sometimes reach an enormous size.
Practitioners must consider the semnificative risk of malignant transformation, especially in tumors with long
time evolution, and also the possibility of postoperative recurrence. We present a case of giant pleomorphic
adenoma of the parotid gland in a 92-year-old woman with a history of more than 20 years. Clinical examination
revealed a giant mass on the right side of the face, without any signs of facial nerve damage. The tumor was
completely removed by total parotidectomy and preservation of the facial nerve. The tumor measured 15/9/8 cm
and weighed 530 g. Histopathologic examination showed a predominat myoepithelial component and
schwanom-like areas and no evidence of malignant transformation. Postoperative evolution was favorable, with
excellent functional and aesthetic results.
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| ISSN: | 2393-1531 2393-1108 |