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Pleomorphic adenoma of the head and neck in children: presentation and management

Natasha D Dombrowski1, Nikolaus E Wolter2,3, Alexandria L Irace1

  • 1Department of Otolaryngology and Communication Enhancement, Boston, Massachusetts, U.S.A.

The Laryngoscope
|November 16, 2018
PubMed

Insights

Pediatric pleomorphic adenoma, the most common benign salivary gland tumor, requires careful management. This study found a low recurrence rate (4.9%) after surgical excision, emphasizing the need for continued patient monitoring.

Area of Science:

  • Pediatric Otolaryngology
  • Head and Neck Surgery
  • Surgical Oncology

Background:

  • Pleomorphic adenoma is the most frequent benign tumor of salivary glands in children.
  • Concerns regarding recurrence and malignant transformation necessitate effective treatment strategies.

Purpose of the Study:

  • To review the clinical presentation, diagnostic evaluation, and management of pleomorphic adenoma in pediatric patients.
  • To analyze treatment outcomes, including complications and recurrence rates.

Main Methods:

  • Retrospective chart review of 41 patients under 20 years old treated for pleomorphic adenoma from 1998 to 2017.
  • Data collected included demographics, clinical findings, imaging results (ultrasound, CT, MRI), surgical treatment, complications, and follow-up duration.
  • Analysis focused on identifying patterns of occurrence, treatment efficacy, and recurrence.

Main Results:

  • Pleomorphic adenomas were predominantly found in major salivary glands (78.0%), particularly the parotid gland.
  • Minor salivary gland involvement occurred in the palate, buccal mucosa, parapharyngeal space, and upper lip.
  • Surgical excision was universally performed, with a low recurrence rate of 4.9% and manageable postoperative complications such as transient facial paresis.

Conclusions:

  • Preoperative imaging is crucial for evaluating pediatric pleomorphic adenoma.
  • Complete surgical excision with clear margins is the primary treatment goal.
  • Despite a low recurrence rate, long-term follow-up is recommended for pediatric patients.
Abstract

Keywords:
Pleomorphic adenomahead and neckpediatric

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