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Parotid masses: evaluation, analysis, and current management.

M N Byrne1, J G Spector

  • 1Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, MO.

The Laryngoscope
|January 1, 1988
PubMed
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This study reviewed 231 parotid masses, finding benign tumors most common. Non-neoplastic lesions and deep lobe tumors were significant findings in parotid mass diagnosis.

Area of Science:

  • Otolaryngology
  • Head and Neck Surgery
  • Pathology

Background:

  • Parotid masses are common clinical findings.
  • Accurate diagnosis and management are crucial.
  • Previous studies provide a basis for comparison.

Purpose of the Study:

  • To review clinical presentation, diagnostic evaluation, pathology, and treatment of parotid masses.
  • To compare current findings with historical data.
  • To identify trends in parotid mass diagnosis and management.

Main Methods:

  • Retrospective review of 231 sequential parotid masses (1982-1986).
  • Analysis of clinical presentation, diagnostic imaging (primarily computed tomography), histopathologic findings, and therapeutic interventions.
  • Comparison with previously reported parotid mass data.

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Main Results:

  • 146 benign tumors (63.2%), 50 malignancies (21.6%), 35 nonmalignant lesions (15.2%).
  • Asymptomatic mass was the most frequent presentation.
  • Metastatic squamous cell carcinoma was the most common malignancy; deep lobe tumors were more frequent than previously reported.

Conclusions:

  • Non-neoplastic lesions represent a significant portion of parotid masses.
  • Computed tomography is a key diagnostic tool.
  • Parotidectomy with facial nerve preservation is the standard surgical approach.
  • Deep lobe tumors warrant increased clinical consideration.