Pleomorphic adenoma arising from the tail of the parotid gland – value of preoperative multi planar imaging: a case report

Vaidhyanath, Ram; Harieaswar, Sreemathi; Kendall, C H; Conboy, Peter

doi:10.1186/1757-1626-1-23

Cited by 3 publications

(4 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The prestyloid PPS is bordered anterolaterally by the medial pterygoid muscle, and posterolaterally by the deep lobe of the parotid gland extends from the hyoid bone inferiorly, to the skull base superiorly and contains mainly parapharyngeal fat. 15,18,21 In this case the tumor was present on prestyloid and poststyloid PPS.…”

Section: Discussionmentioning

confidence: 65%

“…The great anatomic distortion of the zone made it difficult to identify the trunk of the facial nerve. 11,18,21 Parotidectomy with facial nerve preservation is the method of choice in treatment benign tumors of the parotid gland. It is generally accepted that the standard treatment of parotid pleomorphic adenoma involving PPS is complete removal of the tumor, with two criteria are include wide intra-operative visibility for safe operation and minimal functional or cosmetic effects.…”

Section: Discussionmentioning

confidence: 99%

“…Primary multicentricity might influence recurrence rate, so treatment radical excision or total parotidectomy often becomes challenging, probably not only for intrasurgical ruptures or the presence of tumor pseudopodia penetrating throughout adjacent normal glandular. [20][21][22][23]25,26 Treatment of patients with recurrent pleomorphic adenoma is difficult. Indeed, in most cases, it would be more accurate to speak of residual disease to the patient before operation.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Giant Parotid Pleomorphic Adenoma Involving Parapharyngeal Space

Rahman¹,

Budiman²,

Yurni³

2013

JKA

View full text Add to dashboard Cite

AbstrakLatar belakang: Pleomorfik adenoma parotis merupakan tumor jinak kelenjar liur yang paling sering ditemukan, namun pleomorfik adenoma parotis yang sangat besar sehingga melibatkan ruang parafaring (RPF) sangat jarang. Diagnosis ini sulit ditegakkan karena gejala klinisnya tidak khas. Penatalaksanaanya harus hati-hati mengingat banyak struktur vital yang beresiko mengalami trauma. Tujuan: Bagaimana menegakkan diagnosis dan penatalaksanaan pleomorfik adenoma parotis yang melibatkan RPF. Kasus: Seorang pasien perempuan 27 tahun ditegakkan diagnosis pleomorfik adenoma parotis kanan dengan melibatkan RPF. Terdapat pembengkakan pada leher yang bersifat asimtomatis dan gejala pendorongan faring dan laring yang menyebabkan disfonia, disfagia, dan defisit saraf kranial IX,X,XII. Penatalaksanaan: Pasien telah dilakukan operasi parotidektomi pendekatan transervikaltransparotid dengan preservasi arteri karotis eksterna dan saraf fasialis. Kesimpulan: Biopsi Aspirasi Jarum Halus (BAJAH) dan radiologi merupakan pemeriksaan yang penting untuk menegakkan diagnosis. Penatalaksanaan pleomorfik adenoma parotis yang melibatkan RPF adalah bedah ekstirpasi komplit dengan beberapa pendekatan. . Kata kunci: tumor jinak kelenjar liur, pleomorfik adenoma, ruang parafaring Abstract Background: Parotid pleomorphic adenoma is the most common benign salivary gland tumor, while giant parotid pleomorphic adenoma involving the parapharyngeal space (PPS) is rare. It was difficult to diagnose because the clinical presentation of this tumor can be subtle. The management must be performed carefully due to anatomy relation to complex vital structure lead to traumatic injury highrisk. Purposes: How to make diagnosis and management parotid pleomorphic adenoma involving PPS. Case: A female 27 years old with diagnosis was giant parotid pleomorphic adenoma involving PPS. There was asymptomatic swelling of the neck and presence of pushing the pharynx and larynx medially causes dysphonia, dysphagia, and IX,X,XII cranial nerves deficit. Management: The patient has been performed parotidectomy with transcervical-transparotid approaches by preservation of the external carotid artery and facial nerve. Conclusion: Fine Needle Aspiration Biopsy (FNAB) and imaging are essential for diagnostic. The management of parotid pleomorphic adenoma involving PPS is surgical complete extirpation with various approaches.

show abstract

Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Giant Parotid Pleomorphic Adenoma Involving Parapharyngeal Space

Rahman¹,

Budiman²,

Yurni³

2013

JKA

View full text Add to dashboard Cite

show abstract

“…Lesions of the “tail” of the parotid gland are difficult to assess clinically and provide a diagnostic dilemma on imaging. [ 8 ] Most benign parotid tumors present as slow-growing, painless masses often in the tail of the parotid gland. Hamilton et al defines the “tail” of the parotid gland as inferior 2 cm of the superficial lobe of the gland.…”

Section: Discussionmentioning

confidence: 99%

Papillary cystic variant of acinic cell carcinoma presenting as parotid tail tumor

Khan

Pujani

Hassan

et al. 2015

Int J App Basic Med Res

View full text Add to dashboard Cite

Acinic cell carcinoma (ACC) is an uncommon low-grade tumor of the salivary glands that constitutes 2.5–4% of parotid gland tumors. Papillary cystic variant (PCV) of ACC is even rarer and can be diagnosed on histopathological examination only. It is important to diagnose this variant as it carries a poor prognosis when compared with other variants of ACC and is known to be universally fatal in 10 years. The present case describes ACC-PCV in a 20-year-old male, which presented as a slow growing parotid tail tumor and was misdiagnosed as a benign lesion both cytologically and radiologically. This case emphasizes the importance of histopathological examination in parotid masses as well as the need to consider malignant lesion in the differential diagnosis of a parotid tail tumor.

show abstract

Diagnosis and Management of Salivary Lesions of the Neck

Carlson

2015

Atlas of the Oral and Maxillofacial Surgery Clinics

View full text Add to dashboard Cite

Pleomorphic adenoma arising from the tail of the parotid gland – value of preoperative multi planar imaging: a case report

Cited by 3 publications

References 2 publications

Giant Parotid Pleomorphic Adenoma Involving Parapharyngeal Space

Giant Parotid Pleomorphic Adenoma Involving Parapharyngeal Space

Papillary cystic variant of acinic cell carcinoma presenting as parotid tail tumor

Diagnosis and Management of Salivary Lesions of the Neck

Contact Info

Product

Resources

About