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Pediatric parotid masses
L J Orvidas1, J L Kasperbauer, J E Lewis
1Department of Otorhinolaryngology, Mayo Clinic and Mayo Foundation, Rochester, Minn 55905, USA. orvidas.laura@mayo.edu
Archives of Otolaryngology--Head & Neck Surgery
|February 19, 2000
Summary
Pediatric parotid masses, though uncommon, encompass diverse diagnoses including malignancy. Prompt evaluation and tailored treatment are crucial for optimal outcomes in children with these lesions.
Area of Science:
- Pediatric Otolaryngology
- Head and Neck Surgery
- Pediatric Oncology
Background:
- Parotid masses in children are rare but can present with various pathologies.
- Understanding the incidence and types of pediatric parotid lesions is essential for effective management.
Purpose of the Study:
- To determine the incidence, types, and treatment outcomes of pediatric parotid lesions.
- To establish management guidelines for pediatric parotid masses based on diagnosis.
Main Methods:
- Retrospective case review of pediatric patients with parotid masses.
- Histological and literature review to classify lesions and assess outcomes.
- Analysis of data from a tertiary care center over a 28-year period.
Main Results:
- 118 pediatric patients (birth to 18 years) were identified with parotid masses.
- Benign lesions (47.5%) and infectious/inflammatory lesions (36.4%) were most common; malignant lesions occurred in 16.1%.
- Pleomorphic adenoma and hemangioma were the most frequent benign tumors, while mucoepidermoid carcinoma was the most common malignancy. Surgical complications included facial nerve weakness.
Conclusions:
- Pediatric parotid masses require prompt evaluation and treatment due to potential malignancy.
- Management strategies should be guided by the specific pathological diagnosis.
- Further research may refine treatment protocols for these rare conditions.