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Related Experiment Videos

Recurrent pleomorphic adenoma: uninodular versus multinodular disease.

H Rowley1, M Murphy, D Smyth

  • 1Department of Otolaryngology, Mater Misericordiae Hospital, Dublin.

Irish Journal of Medical Science
|March 29, 2001
PubMed
Summary

Recurrent pleomorphic adenoma management is challenging, but this study found no permanent facial nerve damage in treated patients. Formal superficial parotidectomy is recommended for initial surgeries to prevent recurrence.

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Area of Science:

  • Otolaryngology
  • Head and Neck Surgery
  • Oncology

Background:

  • Recurrent pleomorphic adenoma poses management challenges, including higher risks of facial nerve injury and malignant transformation.
  • Previously untreated pleomorphic adenoma is generally straightforward to manage.

Purpose of the Study:

  • To review the management of recurrent pleomorphic adenoma.
  • To identify factors aiding future treatment strategies for recurrent pleomorphic adenoma.

Main Methods:

  • Retrospective review of pleomorphic adenoma management over an eight-year period (1990-1998).
  • Focus on recurrent pleomorphic adenoma cases in the parotid gland and parapharyngeal space.

Main Results:

  • Twelve patients with recurrent pleomorphic adenoma were treated.

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  • Recurrence predominantly occurred in the parotid gland (10/12 patients).
  • Uninodular recurrence was easier to manage than multinodular recurrence; no permanent facial nerve damage was observed.

    • Conclusions:

    • Formal superficial parotidectomy is recommended for initial surgeries to prevent parotid gland pleomorphic adenoma recurrence.
    • Adjuvant radiotherapy was used in three patients.