Deenadayalan N, Pandyan Deepak Abraham, Satheesh C, Aparnaa M, Harthi G
Department of Oral and Maxillofacial Surgery, Madha Dental College and Hospital, Chennai, Tamil Nadu, India.
Ann Maxillofac Surg. 2024 Jan-Jun;14(1):89-92. doi: 10.4103/ams.ams_206_23. Epub 2024 May 8.
Pleomorphic adenoma (PA) is the most prevalent salivary gland tumour, accounting for 60%-80% of all benign salivary gland tumours, and frequently affects the parotid gland. Their epithelial and connective tissue origins can explain the 'pleomorphic' nature of tumours. This tumour is most common in women between 30 and 50 years.
A 45-year-old female came with the chief complaint of a slow-growing, painless swelling on the left side of her face that had been present for 25 years.
PA of the parotid gland was diagnosed using computed tomography and fine-needle aspiration cytology. PA is a slowly progressing, asymptomatic swelling that rarely exceeds 6 cm in its greatest dimension; in our case, it was 13 cm × 10 cm and weighed 5 kg.
The ideal management is the surgical removal of the tumour mass, which was done under general anaesthesia. Early diagnosis and treatment planning was critical. Complete removal of the tumour without remnants is crucial to prevent a recurrence. Total parotidectomy was done in this case.
There was no evidence of recurrence after comprehensive local surgical resection of the tumour during the follow-up period.
TAKE-AWAY LESSONS: This case report is significant as it sheds light on the successful treatment approach for a large pleomorphic adenoma. It can provide valuable insights into the management of similar cases, potentially leading to improved patient outcomes and guiding future treatment strategies.
多形性腺瘤（PA）是最常见的唾液腺肿瘤，占所有良性唾液腺肿瘤的60%-80%，且常累及腮腺。其上皮和结缔组织起源可解释肿瘤的“多形性”本质。该肿瘤在30至50岁的女性中最为常见。
一名45岁女性，主要诉求为左侧面部缓慢生长、无痛性肿胀，已持续25年。
通过计算机断层扫描和细针穿刺细胞学检查诊断为腮腺多形性腺瘤。多形性腺瘤是一种进展缓慢、无症状的肿胀，最大直径很少超过6厘米；在我们的病例中，其大小为13厘米×10厘米，重5千克。
理想的治疗方法是手术切除肿瘤肿块，该手术在全身麻醉下进行。早期诊断和治疗计划至关重要。完整切除肿瘤且无残留对于预防复发至关重要。本例实施了全腮腺切除术。
在随访期间，肿瘤经全面局部手术切除后无复发迹象。
本病例报告具有重要意义，因为它揭示了大型多形性腺瘤的成功治疗方法。它可为类似病例的管理提供有价值的见解，可能改善患者预后并指导未来的治疗策略。
