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Benign pleomorphic adenomas in children.

B Malone, S R Baker

    The Annals of Otology, Rhinology, and Laryngology
    |May 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Benign pleomorphic adenomas are rare in children but treatable. Surgical removal, particularly parotidectomy for parotid gland tumors, offers good long-term control for these rare salivary gland neoplasms.

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    Area of Science:

    • Pediatric Surgery
    • Head and Neck Oncology
    • Surgical Pathology

    Background:

    • Benign pleomorphic adenomas of the salivary glands are uncommon in pediatric patients.
    • These tumors can present as primary or recurrent/persistent disease following initial treatment.

    Purpose of the Study:

    • To report on the clinical presentation, treatment, and outcomes of benign pleomorphic adenomas in patients under 21 years of age.
    • To evaluate the efficacy of surgical management for pediatric salivary gland neoplasms.

    Main Methods:

    • Retrospective review of 30 pediatric patients diagnosed with benign pleomorphic adenomas.
    • Analysis of treatment strategies, including initial surgery and retreatment for recurrent disease.
    • Long-term follow-up to assess recurrence rates and malignant transformation.

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    Main Results:

    • Eight out of twelve patients with recurrent tumors achieved disease control after retreatment, with follow-up ranging from 5 to 24 years.
    • Two patients experienced malignant degeneration of their pleomorphic adenomas.
    • All 18 previously untreated patients remained recurrence-free.

    Conclusions:

    • Surgical management, including parotidectomy with facial nerve preservation for parotid tumors and complete excision for submandibular tumors, is effective in treating pediatric benign pleomorphic adenomas.
    • Early and complete surgical excision is crucial to prevent recurrence and potential malignant transformation.