Recurrence of parotid pleomorphic adenoma Case report
Areti VOLIOTI, George ROMANOS, Eleni KONSOLAKI, Panagiotis-Ioannis HATZIMANOLIS
Department of Oral and Maxillofacial Surgery, at University Hospital of Heraklion, Greece (Head: Dr. Eleni Konsolaki)
Hellenic Archives of Oral & Maxillofacial Surgery (2017) 1, 21-26
SUMMARY: Pleomorphic adenoma, also known as mixed tumor, is the most commonly occurring tumor of salivary glands and 60-70% of all of the parotid tu- mors. The pleomorphic adenoma of the parotid gland can achieve considerable dimensions and, although benign, often recurs after the initial surgical removal. Dealing with such a recurrence is a challenge for the OMFS as it increases the risk of damaging the facial nerve, of recurrence and malignant transformation of the tumor. The surgical technique that will be used is directly related to the likelihood of recurrence of pleomorphic adenoma, while postoperative radiotherapy appears to play an important role in combating it. The aim of this paper is to present a case of recurrent pleomorphic ade- noma of the parotid gland in a 27 years old female pa- tient, and the way that it was managed.
KEY WORDS: pleomorphic adenoma, parotid gland, recurrence, radiotherapy
REFERENCES
Abu-Ghanem Y, Mizrachi A, Popovtzer A, Abu-Ghanem N, Fein- messer R.: Recurrent pleomorphic adenoma of the parotid gland: Institutional experience and review of the literature. J Surg Oncol. 114:714-718, 2016.
Bradley PJ: Recurrent salivary gland pleomorphic adenoma: etiology, management, and results. Curr Opin Otolaryngol Head Neck Surg 9:100–108, 2001.
Chen AM, Garcia J, Bucci MK, Quivey JM, Eisele DW.: Recurrent pleo- morphic adenoma of the parotid gland: long-term outcome of patients treated with radiation therapy. Int J Radiat Oncol Biol Phys. 66:1031-5, 2006.
Colella G, Cannavale R, Chiodini P.: Meta-analysis of surgical ap- proaches to the treatment of parotid pleomorphic adenomas and recurrence rates. J Craniomaxillofac Surg. 43:738-45, 2015.
Dawson AK.: Radiation therapy in recurrent pleomorphic adenoma of the parotid. Int J Radiat Oncol Biol Phys. 16: 819-821, 1989.
Ellis GL, Auclair PL: Tumors of the salivary glands. Atlas of tumor pathology. 4th series, Fascicle 9, 1st ed. Washington, DC: Armed Forces Institute of Pathology, 2007.
Henriksson G, Westrin KM, Carlsöö B, Silfverswärd C.: Recurrent pri- mary pleomorphic adenomas of salivary gland origin: intrasurgical rupture, histopathologic features, and pseudopodia. Can- cer. 82:617-620, 1998.
Larson DL.: Management of the recurrent, benign tumor of the parotid gland. Plast Reconstr Surg. 108:734-740, 2001.
Papadogeorgakis N.: Partial superficial parotidectomy as the method of choice for treating pleomorphic adenomas of the parotid gland. Br J Oral Maxillofac Surg.49:447-50, 2011.
Papadogeorgakis N, Kalfarentzos EF, Petsinis V, Parara E, Kopaka ME.: Multinodular neck recurrence of parotid gland pleomorphic ade- noma: a case report. Oral Maxillofac Surg. 16:137-40, 2012.
Renehan A, Gleave EN, McGurk M.: An analysis of the treatment of 114 patients with recurrent pleomorphic adenomas of the parotid gland. Am J Surg. 172:710-4, 1996.
van der Laan BF, Baris G, Gregor RT, Hilgers FJ, Balm AJ.: Radiation-in- duced tumours of the head and neck. J Laryngol Otol. 109:346- 9, 1995.
Zbären P, Vander Poorten V, Witt RL, Woolgar JA, Shaha AR, Tri- antafyllou A, Takes RP, Rinaldo A, Ferlito A.: Pleomorphic ade- noma of the parotid: formal parotidectomy or limited surgery? Am J Surg. 205:109-18, 2013.
Χατζημανώλης Π. (Ηλεκτρονικός Άτλας).: Άτλας Στοματικής και Γνα- θοπροσωπικής Χειρουργικής, Κεφάλαιο: Παθήσεις Σιαλογόνων Αδένων http://gnathoprosopiki.gr/, 2015.
Department of Oral and Maxillofacial Surgery, at University Hospital of Heraklion, Greece (Head: Dr. Eleni Konsolaki)
Hellenic Archives of Oral & Maxillofacial Surgery (2017) 1, 21-26
SUMMARY: Pleomorphic adenoma, also known as mixed tumor, is the most commonly occurring tumor of salivary glands and 60-70% of all of the parotid tu- mors. The pleomorphic adenoma of the parotid gland can achieve considerable dimensions and, although benign, often recurs after the initial surgical removal. Dealing with such a recurrence is a challenge for the OMFS as it increases the risk of damaging the facial nerve, of recurrence and malignant transformation of the tumor. The surgical technique that will be used is directly related to the likelihood of recurrence of pleomorphic adenoma, while postoperative radiotherapy appears to play an important role in combating it. The aim of this paper is to present a case of recurrent pleomorphic ade- noma of the parotid gland in a 27 years old female pa- tient, and the way that it was managed.
KEY WORDS: pleomorphic adenoma, parotid gland, recurrence, radiotherapy
REFERENCES
Abu-Ghanem Y, Mizrachi A, Popovtzer A, Abu-Ghanem N, Fein- messer R.: Recurrent pleomorphic adenoma of the parotid gland: Institutional experience and review of the literature. J Surg Oncol. 114:714-718, 2016.
Bradley PJ: Recurrent salivary gland pleomorphic adenoma: etiology, management, and results. Curr Opin Otolaryngol Head Neck Surg 9:100–108, 2001.
Chen AM, Garcia J, Bucci MK, Quivey JM, Eisele DW.: Recurrent pleo- morphic adenoma of the parotid gland: long-term outcome of patients treated with radiation therapy. Int J Radiat Oncol Biol Phys. 66:1031-5, 2006.
Colella G, Cannavale R, Chiodini P.: Meta-analysis of surgical ap- proaches to the treatment of parotid pleomorphic adenomas and recurrence rates. J Craniomaxillofac Surg. 43:738-45, 2015.
Dawson AK.: Radiation therapy in recurrent pleomorphic adenoma of the parotid. Int J Radiat Oncol Biol Phys. 16: 819-821, 1989.
Ellis GL, Auclair PL: Tumors of the salivary glands. Atlas of tumor pathology. 4th series, Fascicle 9, 1st ed. Washington, DC: Armed Forces Institute of Pathology, 2007.
Henriksson G, Westrin KM, Carlsöö B, Silfverswärd C.: Recurrent pri- mary pleomorphic adenomas of salivary gland origin: intrasurgical rupture, histopathologic features, and pseudopodia. Can- cer. 82:617-620, 1998.
Larson DL.: Management of the recurrent, benign tumor of the parotid gland. Plast Reconstr Surg. 108:734-740, 2001.
Papadogeorgakis N.: Partial superficial parotidectomy as the method of choice for treating pleomorphic adenomas of the parotid gland. Br J Oral Maxillofac Surg.49:447-50, 2011.
Papadogeorgakis N, Kalfarentzos EF, Petsinis V, Parara E, Kopaka ME.: Multinodular neck recurrence of parotid gland pleomorphic ade- noma: a case report. Oral Maxillofac Surg. 16:137-40, 2012.
Renehan A, Gleave EN, McGurk M.: An analysis of the treatment of 114 patients with recurrent pleomorphic adenomas of the parotid gland. Am J Surg. 172:710-4, 1996.
van der Laan BF, Baris G, Gregor RT, Hilgers FJ, Balm AJ.: Radiation-in- duced tumours of the head and neck. J Laryngol Otol. 109:346- 9, 1995.
Zbären P, Vander Poorten V, Witt RL, Woolgar JA, Shaha AR, Tri- antafyllou A, Takes RP, Rinaldo A, Ferlito A.: Pleomorphic ade- noma of the parotid: formal parotidectomy or limited surgery? Am J Surg. 205:109-18, 2013.
Χατζημανώλης Π. (Ηλεκτρονικός Άτλας).: Άτλας Στοματικής και Γνα- θοπροσωπικής Χειρουργικής, Κεφάλαιο: Παθήσεις Σιαλογόνων Αδένων http://gnathoprosopiki.gr/, 2015.
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