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Pleomorphic adenoma of the parotid in childhood
Alberto Garcia-Perla1, Macarena Muñoz-Ramos, Pedro Infante-Cossio
1Department of Oral and Maxillofacial Surgery, 'Virgen del Rocio' University Hospital, Seville, Spain. agarciaperlag@infomed-dental.com
Insights
Pediatric pleomorphic adenomas of the parotid gland are rare but treatable. This study of seven childhood cases found good outcomes with standard surgical techniques and no permanent complications.
Area of Science:
- Pediatric Otolaryngology
- Head and Neck Surgery
- Surgical Oncology
Background:
- Pleomorphic adenoma is the most common parotid gland tumor, but rare in children.
- Limited data exists on childhood parotid pleomorphic adenomas for comparison with adult cases.
- While generally benign, malignant transformation and metastasis are potential risks.
Purpose of the Study:
- To present seven cases of childhood parotid pleomorphic adenoma.
- To review the literature on pediatric parotid pleomorphic adenoma.
- To analyze clinical presentation, surgical management, and outcomes in children.
Main Methods:
- Retrospective review of seven pediatric parotid pleomorphic adenoma cases.
- Evaluation of patient demographics, clinical symptoms, and disease evolution.
- Analysis of surgical techniques and postoperative complications.
Main Results:
- The mean age of presentation was 12.4 years, with all patients being male.
- The right parotid gland was affected in five patients.
- Surgical interventions included conservative superficial parotidectomy, conservative total parotidectomy, and enucleation; no permanent complications were observed.
Conclusions:
- Pediatric parotid pleomorphic adenomas can be effectively treated with standard surgical approaches.
- Conservative surgical techniques yield favorable outcomes with minimal complications in children.
- Further research with larger cohorts is needed to fully understand this rare pediatric condition.
Introduction:
Pleomorphic adenoma is a benign growth that most often appears in the parotid gland where it is the most frequent type of tumour. Its appearance in childhood is rare and there are no large series available in this age group for comparison with its presentation in adults. Surgical treatment is similar in children and in adults; whilst the prognosis is good, they may become malignant and metastasize.
Material And Method:
In this study, we present seven parotid pleomorphic adenomas in childhood treated in our Department and a review of the literature. The following data were evaluated: sex, age, affected side, clinical symptoms and period of evolution of the symptoms, surgical technique applied and complications observed.
Results:
The mean age at presentation was 12.4 years. All patients were males with the right side affected in five patients. The treatment was conservative superficial parotidectomy in five patients, conservative total parotidectomy in one, and an enucleation including a wide safety margin in the last case. None of the patients exhibited any permanent postoperative complication. The mean follow-up was 41.3 months (26-58 months).