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Recurrent pleomorphic adenoma

S R Jackson1, N J Roland, R W Clarke

  • 1Department of Otorhinolaryngology, University of Liverpool.

The Journal of Laryngology and Otology
|June 1, 1993
PubMed
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Recurrent pleomorphic adenoma, particularly in the parotid gland, often requires extensive surgery. This study highlights the long-term recurrence patterns and management of this benign salivary gland tumor.

Area of Science:

  • Otolaryngology
  • Head and Neck Surgery
  • Surgical Oncology

Background:

  • Pleomorphic adenoma is the most common benign salivary gland neoplasm.
  • Recurrence after surgical management can occur, necessitating further treatment.
  • Understanding recurrence patterns is crucial for optimizing patient outcomes.

Purpose of the Study:

  • To analyze the incidence and characteristics of recurrent pleomorphic adenoma.
  • To evaluate treatment strategies for recurrent pleomorphic adenoma.
  • To identify factors influencing recurrence and malignant transformation.

Main Methods:

  • Retrospective review of 209 pleomorphic adenoma cases over 30 years.
  • Analysis of 38 secondary referrals with recurrent disease.

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  • Detailed examination of recurrence site, time to recurrence, and treatment modalities.

    • Main Results:

    • 38 cases (18.2%) presented with recurrent disease after initial surgery.
    • Mean time to recurrence was 9 years and 4 months, predominantly in the parotid gland (34 cases).
    • Three patients developed malignant transformation in recurrent tumors, with one mortality.

    Conclusions:

    • Recurrence of pleomorphic adenoma is a significant long-term concern, often requiring complex surgical intervention.
    • Management of recurrent disease varies based on location and extent, including superficial/total parotidectomy and radiotherapy.
    • Vigilance for malignant change in recurrent pleomorphic adenomas is essential due to potential poor prognosis.