Massive Multinodular Head and Neck Recurrence of Parotid Gland Pleomorphic Adenoma: A Case Report
Introduction. The optimal initial management of parotid pleomorphic adenomas reduces the risk of recurrence and malignant transformation. Surgery of recurrence can be difficult in multinodular disseminated forms. Case Report. A 67-years-old patient was referred for management of a large multifocal r...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2014/914021 |
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| author | Pierre Philouze Nicolas Sigaux Anne Frédérique Manichon Jean-Christian Pignat Marc Poupart |
| author_facet | Pierre Philouze Nicolas Sigaux Anne Frédérique Manichon Jean-Christian Pignat Marc Poupart |
| author_sort | Pierre Philouze |
| collection | DOAJ |
| description | Introduction. The optimal initial management of parotid pleomorphic adenomas reduces the risk of recurrence and malignant transformation. Surgery of recurrence can be difficult in multinodular disseminated forms. Case Report. A 67-years-old patient was referred for management of a large multifocal recurrence of a pleomorphic adenoma operated on 23 years ago. The clinical and radiological assessment found parapharyngeal, infratemporal, and prestyloid invasion, with nodules in the sternocleidomastoid muscle. Excision by transmandibular approach was performed. The pathologist found a multinodular recurrent pleomorphic adenoma without criteria of malignancy. Postoperative radiotherapy was performed. Discussion. Multinodular forms and incomplete resections are the most important factors that are thought to predispose to recurrence. A precise analysis of the extension by preoperative MRI is essential. Adjuvant radiotherapy can be given in these recurrent multifocal forms. |
| format | Article |
| id | doaj-art-7ec55e1fd66144e39b8cb97bc686d13e |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-7ec55e1fd66144e39b8cb97bc686d13e2025-02-03T06:48:16ZengWileyCase Reports in Otolaryngology2090-67652090-67732014-01-01201410.1155/2014/914021914021Massive Multinodular Head and Neck Recurrence of Parotid Gland Pleomorphic Adenoma: A Case ReportPierre Philouze0Nicolas Sigaux1Anne Frédérique Manichon2Jean-Christian Pignat3Marc Poupart4Service d’ORL, Hôpital de la Croix-Rousse, 103 Grande rue de la Croix-Rousse, 69317 Lyon Cedex 4, FranceService d’ORL, Hôpital de la Croix-Rousse, 103 Grande rue de la Croix-Rousse, 69317 Lyon Cedex 4, FranceService de Radiologie, Hôpital de la Croix-Rousse, 103 Grande rue de la Croix-Rousse, 69317 Lyon Cedex 4, FranceService d’ORL, Hôpital de la Croix-Rousse, 103 Grande rue de la Croix-Rousse, 69317 Lyon Cedex 4, FranceService d’ORL, Hôpital de la Croix-Rousse, 103 Grande rue de la Croix-Rousse, 69317 Lyon Cedex 4, FranceIntroduction. The optimal initial management of parotid pleomorphic adenomas reduces the risk of recurrence and malignant transformation. Surgery of recurrence can be difficult in multinodular disseminated forms. Case Report. A 67-years-old patient was referred for management of a large multifocal recurrence of a pleomorphic adenoma operated on 23 years ago. The clinical and radiological assessment found parapharyngeal, infratemporal, and prestyloid invasion, with nodules in the sternocleidomastoid muscle. Excision by transmandibular approach was performed. The pathologist found a multinodular recurrent pleomorphic adenoma without criteria of malignancy. Postoperative radiotherapy was performed. Discussion. Multinodular forms and incomplete resections are the most important factors that are thought to predispose to recurrence. A precise analysis of the extension by preoperative MRI is essential. Adjuvant radiotherapy can be given in these recurrent multifocal forms.http://dx.doi.org/10.1155/2014/914021 |
| spellingShingle | Pierre Philouze Nicolas Sigaux Anne Frédérique Manichon Jean-Christian Pignat Marc Poupart Massive Multinodular Head and Neck Recurrence of Parotid Gland Pleomorphic Adenoma: A Case Report Case Reports in Otolaryngology |
| title | Massive Multinodular Head and Neck Recurrence of Parotid Gland Pleomorphic Adenoma: A Case Report |
| title_full | Massive Multinodular Head and Neck Recurrence of Parotid Gland Pleomorphic Adenoma: A Case Report |
| title_fullStr | Massive Multinodular Head and Neck Recurrence of Parotid Gland Pleomorphic Adenoma: A Case Report |
| title_full_unstemmed | Massive Multinodular Head and Neck Recurrence of Parotid Gland Pleomorphic Adenoma: A Case Report |
| title_short | Massive Multinodular Head and Neck Recurrence of Parotid Gland Pleomorphic Adenoma: A Case Report |
| title_sort | massive multinodular head and neck recurrence of parotid gland pleomorphic adenoma a case report |
| url | http://dx.doi.org/10.1155/2014/914021 |
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