Surgical resection of pleomorphic adenoma

Ricardo Eugenio Varela Ayres de Melo, Marcela Côrte Real Fernandes, Rodrigo Henrique Mello Varela Ayres de Melo, Milena Mello Varela Ayres de Melo Pinheiro, Victor Leonardo Mello Varela Ayres de Melo, Camilla Siqueira de Aguiar

Abstract


OBJECTIVE: The Pleomorphic Adenoma is the most common among benign neoplasm derived from salivary glands and it might suggest malignancy when there is some sort of fast growth, pain, facial nerve involvement and cervical adenopathy. Its onset occurs between 40 and 60 years old and prevails on the female gender. Salivary glands tumor diagnosis depends on a precise pathological diagnosis as well as non-invasive examinations, which include ultrasonography, sialography, computed tomography and magnetic resonance imaging. The most recommended surgical treatment is the complete lesion excision, indispensable to avoid possible recurrence. Depending on the lesion situs, size, depth, and volume, the surgical technique choice for the pleomorphic adenoma may vary. The adenoma keeps developing if it is not completely removed.
CASE DESCRIPTION: The present paper aims to describe a clinical case of a female melanodermic patient, aged 29 years old, who attended the MaxilloFacial Surgery and Traumatology Service of Federal University of Pernambuco complaining of an increased volume in the left submandibular region. The clinical examination revealed a well-delimited lesion in the left parotid area, presenting with a firm and painless consistency. The required ultrasonography image confirmed the initial diagnosis and the patient was referred to the surgical facility in order to undertake tumor resection with partial parotidectomy under general anesthesia.
CONCLUSION: The present study concludes that pleomorphic adenoma is a benign tumor with diverse characteristics and surgical technique choice depends on the lesion depth, as well as its extension and relation with the facial nerve.


Keywords


pleomorphic adenoma; oral surgery; salivary gland diseases.

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References


Robertson BF et al. Pleomorphic adenomas: Post-operative radiotherapy is unnecessary following primary incomplete excision: A retrospective review. Journal of Plastic, Reconstructive & Aesthetic Surgery 2014;67:e297-e302.

https://doi.org/10.1016/j.bjps.2014.09.030

Nascimento LA, Vilela TGP. Pleomorphic Adenoma of the Tongue Base: Case Report and Review. Int. Arch. Otorhinolaryngol 2014;18: 328-31.

Queiroz CS et al. An unusual pleomorphic adenoma. RGO, Rev Gaúch Odontol 2014;62:319-24.

Maahs GS et al. Parotid gland tumors: a retrospective study of 154 patients. Brazilian Journal of Otorhinolaryngology 2015;81:301-6.

https:// doi.org/10.1016/j.bjorl.2015.03.007

JainSetal.Pleomorphicadenomaoftheparotidgland:Reportofacase with review of literature. Ethiopian Journal of Health Sciences 2015;25: 189-94.

https://doi.org/10.4314/ejhs.v25i2.13

LombardiMetal.Schwannoma likepleomorphicadenoma:acasereport with review of the literature. Head and Neck Pathology 2014;178-81.

https://doi.org/10.1007/s12105-013-0473-9

Knight J, Ratnasingham K. Metastasing pleomorphic adenoma: Systematic review. International Journal of Surgery 2015;19: 137-45.

https://doi.org/10.1016/j.ijsu.2015.04.084

JayaramR,PatelD,SanthanamV.Benignpleomorphicadenomaofminor salivary gland showing perineural invasion: a rare entity. British Journal of Oral and Maxillofacial Surgery 2015;53:81-2.

https://doi.org/10.1016/j. bjoms.2014.09.010

WittRLetal.Etiologyandmanagementofrecurrentparotidpleomorphic adenoma. The Laryngoscope 2015;125:888-93.

https://doi.org/10.1002/ lary.24964

Hughes AL, Yang E, Vargas SO. A Pediatric Soft Palate Mass. JAMA Otolaryngology-Head & Neck Surgery 2015;141: 391-2.

https://doi. org/10.1001/jamaoto.2014.3722

CristofaroMGetal.PleomorphicAdenomaoftheParotid:Extracapsular Dissection Compared with Superficial Parotidectomy – A 10-Year Retrospective Cohort Study. The Scientific World Journal 2014.

https:// doi.org/10.1155/2014/564053

Guerra GD, Montagnani S, Tafuri D, Salzano FA, Rocca A, Motta G. Surgical management of pleomorphic adenoma of parotid gland in elderly patients: Role of morphological features. International Journal of Surgery 2014.

https://doi.org/10.1016/j.ijsu.2014.08.391

Newberry TR, Kaufmann CR, Miller FR. Review of accessory parotid gland tumors: pathologic incidence and surgical management. American Journal of Otolaryngology 2014;48-52.

https://doi.org/10.1016/j. amjoto.2013.08.018

KuwanECetal.Sinonasalandskullbasepleomorphicadenoma:acase series and literature review. In: International Forum of Allergy & Rhinology 2015; 460-8.

https://doi.org/10.1002/alr.21500

Werner RL, Castle JT. Recurrent Pleomorphic Adenoma. Head and Neck Pathology 2014;303-6.

https://doi.org/10.1007/s12105 013- 0504-6

TseggaTM,BrittJD,EllwangerAR.PleomorphicAdenomaoftheAccessory Parotid Gland: Case Report and Reappraisal of Intraoral Extracapsular Dissection for Management. Journal of Oral and Maxillofacial Surgery 2015;73:564-70.

https://doi.org/10.1016/j.joms.2014.09.015

Prado RF et al. Pleomorphic Adenoma versus Basal Cell Adenoma: An immunohistochemical analysis with b-catenin. Brazilian Dental Science 2014. https://doi.org/10.14295/bds.2014.v17i1.944




DOI: http://dx.doi.org/10.15448/1980-6523.2018.1.29681

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