[Clinics, diagnostics and treatment of parotid salivary gland adenomas]

Clinical data of 252 patients with parotid gland adenomas (PGA) were produced. Pleomorphic adenoma (PA) was found in 81.3% of PGA cases, adenolymphoma (Warthin's tumor) - in 13%, canalicular adenoma - in 2.8%, other adenomas - in 2.9% of observations. PA more often was met in women, adenolymphoma - in men. PGA diagnostics sometimes was difficult. In the minimum of additional analyses in cases of PGA it was desirable to include aspiration puncture by thin needle and sonography, but other methods (computer tomography, magnet resonance tomography) - according to restricted indications, mainly for differential diagnostics with malignant growth, determination of PGA position to peripharyngeal space and skull base. 2 cases of myoepithelioma and cystadenoma of parotid gland were described. The following operations were performed: extracapsular tumorectomy - in 13 patients, adenomectomy with limited gland resection - in 152 patients, subtotal gland resection with nervus facialis separation - in 62 patients, parotidectomy with nervus facialis preservation - in 25 patients. When treating all PGA it is advisable to determine individually the volume of surgical intervention and to keep up to the same tactics as for PA operations.