Aoki Kenko, Tosa Mamiko, Akiyama Gou, Ogawa Rei
From the Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School Hospital, Tokyo, Japan.
Plast Reconstr Surg Glob Open. 2024 Oct 3;12(10):e6211. doi: 10.1097/GOX.0000000000006211. eCollection 2024 Oct.
The accessory parotid gland (APG) is a distinct salivary tissue in the cheek that is located on the masseter muscle and is separate from the main parotid gland. APG tumors (APGTs) are rare. Due to aesthetic reasons and the risk of both malignancy and recurrence, APGTs are best treated with surgical resection. The resection should be conducted carefully due to potential complications such as Stensen duct and facial nerve injuries. Notably, plastic surgeons rarely see APGT cases because they are classified as parotid gland tumors and are thus mostly treated by otorhinolaryngologists. Nonetheless, because they are subcutaneous tumors in the cheek, patients with APGTs do occasionally visit the plastic surgery outpatient clinic. We report a case of APGT in a 59-year-old woman. She presented in our hospital with a rigid mass in the right cheek that was difficult to diagnose on the basis of clinical findings. After magnetic resonance imaging, APGT was considered along with several other possibilities. However, it was only diagnosed after histopathology on the resected tissues. Thus, plastic surgeons treating subcutaneous tumors of the cheek should consider APGT in their differential diagnosis and seek an accurate preoperative diagnosis, because this will help avoid postoperative complications.
副腮腺是位于颊部咬肌上的一个独立的唾液腺组织，与主腮腺分开。副腮腺肿瘤（APGTs）较为罕见。出于美学原因以及恶性和复发风险，APGTs最好通过手术切除进行治疗。由于存在诸如腮腺导管和面神经损伤等潜在并发症，手术切除应谨慎进行。值得注意的是，整形外科医生很少见到APGT病例，因为它们被归类为腮腺肿瘤，因此大多由耳鼻喉科医生治疗。尽管如此，由于它们是颊部的皮下肿瘤，APGT患者偶尔会到整形外科门诊就诊。我们报告一例59岁女性的APGT病例。她因右颊部有一质地硬的肿块前来我院就诊，根据临床表现难以诊断。经磁共振成像检查后，考虑了APGT以及其他几种可能性。然而，仅在对切除组织进行组织病理学检查后才得以确诊。因此，治疗颊部皮下肿瘤的整形外科医生在鉴别诊断时应考虑APGT，并寻求准确的术前诊断，因为这将有助于避免术后并发症。
