Park Soo Yeon, Han Ki-Taik, Kim Min-Cheol, Lim Jin Soo
Department of Plastic and Reconstructive Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea.
Arch Craniofac Surg. 2016 Jun;17(2):90-92. doi: 10.7181/acfs.2016.17.2.90. Epub 2016 Jun 21.
Pleomorphic adenoma is the most common type of salivary gland tumor and the most common tumor of the parotid gland. Because of its propensity for invasion, pleomorphic adenoma of the parotid requires superficial parotidectomy or total parotidectomy to minimize the risk of tumor recurrence. We report a case of pleomorphic adenoma of the parotid gland with repeated recurrences. A 23-year-old male patient presented with a protruding neck mass. Six years prior to this presentation, the patient had undergone superficial parotidectomy for the removal of pleomorphic adenoma of the right parotid gland at our institution. The patient experienced recurrence at 17 months after the initial resection, which required a total parotidectomy with partial resection of the facial nerve. Pathologic examination revealed histologic findings consistent with pleomorphic adenoma across the surgical specimen from all three of the operations. The patient suffered from facial nerve paralysis, with facial expressions partially recovered over a year.
多形性腺瘤是涎腺肿瘤中最常见的类型，也是腮腺最常见的肿瘤。由于其具有侵袭性，腮腺多形性腺瘤需要行腮腺浅叶切除术或全腮腺切除术，以降低肿瘤复发风险。我们报告一例腮腺多形性腺瘤反复复发的病例。一名23岁男性患者出现颈部肿物突出。此次就诊前6年，该患者在我院接受了右侧腮腺多形性腺瘤切除术，行腮腺浅叶切除术。患者在初次切除术后17个月复发，需要行全腮腺切除术并部分切除面神经。病理检查显示，三次手术的手术标本的组织学检查结果均符合多形性腺瘤。患者出现面神经麻痹，面部表情在一年多的时间里部分恢复。
