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Related Experiment Video

Updated: Aug 11, 2025

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
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Melon-sized Parotid Pleomorphic Adenoma-A Case Report.

Keerthan Dhanasekar1, Heena Kapadia2, Steven Neilaj2

  • 1University of Sheffield Medical School, Beech Hill Rd, Broomhall, Sheffield, S10 2RX UK.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|February 6, 2023
PubMed
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Composite phaeochromocytomas-a systematic review of published literature.

Langenbeck's archives of surgeryยท2021
See all related articles

A massive pleomorphic adenoma weighing 1.2 kg was surgically removed after 24 years. The complex case required a modified surgical approach to protect the facial nerve.

Area of Science:

  • Surgical Oncology
  • Head and Neck Surgery
  • Pathology

Background:

  • Pleomorphic adenomas are benign salivary gland tumors.
  • Extremely large tumors present unique surgical challenges.
  • Long-standing tumors can reach significant sizes, impacting surrounding structures.

Purpose of the Study:

  • To report a rare case of a massive pleomorphic adenoma.
  • To describe the surgical management of a large, long-standing tumor.
  • To highlight the importance of tailored surgical techniques for complex cases.

Main Methods:

  • Case presentation of a 55-year-old male with a 1.2 kg pleomorphic adenoma.
  • Description of a modified surgical incision and approach.
  • Focus on preserving facial nerve integrity during tumor resection.
Keywords:
Case reportManagementParotidPleomorphic adenoma

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Last Updated: Aug 11, 2025

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
07:43

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04:01

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Main Results:

  • Successful surgical removal of the 1.2 kg pleomorphic adenoma.
  • No mention of facial nerve damage post-surgery.
  • Demonstration of a feasible surgical strategy for massive tumors.

Conclusions:

  • Massive pleomorphic adenomas, though rare, can be managed effectively with modified surgical techniques.
  • Careful surgical planning is crucial to prevent iatrogenic injury to vital structures like the facial nerve.
  • This case underscores the possibility of long-term survival with very large benign tumors.