Carcinoma Ex Pleomorphic Adenoma Presented as a Gigantic Tumor: Treatment and Diagnostic Challenges
Parotid gland surgery can be challenging due to intricate relationship between the gland and facial nerve. Besides complete removal of the lesion, the main focus of surgery is centered on the facial nerve. Surgery can be technically demanding especially when the tumor is large or involves the deep l...
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| Format: | Article |
| Language: | English |
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Oman Medical Specialty Board
2018-07-01
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| Series: | Oman Medical Journal |
| Subjects: | |
| Online Access: | http://omjournal.org/articleDetails.aspx?coType=1&aId=2138 |
| _version_ | 1819152919764664320 |
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| author | Thevagi Maruthamuthu Jeyasakthy Saniasiaya Irfan Mohamad Sanjeevan Nadarajah Norhafiza Mat Lazim Wan Faiziah Wan Abdul Rahman |
| author_facet | Thevagi Maruthamuthu Jeyasakthy Saniasiaya Irfan Mohamad Sanjeevan Nadarajah Norhafiza Mat Lazim Wan Faiziah Wan Abdul Rahman |
| author_sort | Thevagi Maruthamuthu |
| collection | DOAJ |
| description | Parotid gland surgery can be challenging due to intricate relationship between the gland and facial nerve. Besides complete removal of the lesion, the main focus of surgery is centered on the facial nerve. Surgery can be technically demanding especially when the tumor is large or involves the deep lobe. We report a patient with a 30-year history of gigantic parotid mass, which initial fine-needle aspiration cytology reported as pleomorphic adenoma. The tumor, weighing 1.3 kg, was successfully resected with facial nerve preservation. Histopathological examination of the excised mass confirmed as carcinoma ex pleomorphic adenoma (CaExPA) of adenocarcinoma, not otherwise specified type. We describe the specific surgical and reconstruction techniques for successful removal of large parotid tumors with facial nerve preservation. To our knowledge, this is the heaviest CaExPA of the parotid gland in South-East Asian region. |
| first_indexed | 2024-12-22T14:56:57Z |
| format | Article |
| id | doaj.art-12a2438db48f44869894fc66b283436d |
| institution | Directory Open Access Journal |
| issn | 1999-768X 2070-5204 |
| language | English |
| last_indexed | 2024-12-22T14:56:57Z |
| publishDate | 2018-07-01 |
| publisher | Oman Medical Specialty Board |
| record_format | Article |
| series | Oman Medical Journal |
| spelling | doaj.art-12a2438db48f44869894fc66b283436d2022-12-21T18:22:12ZengOman Medical Specialty BoardOman Medical Journal1999-768X2070-52042018-07-0133434234510.5001/omj.2018.62Carcinoma Ex Pleomorphic Adenoma Presented as a Gigantic Tumor: Treatment and Diagnostic ChallengesThevagi Maruthamuthu0Jeyasakthy Saniasiaya1Irfan Mohamad2Sanjeevan Nadarajah3Norhafiza Mat Lazim4Wan Faiziah Wan Abdul Rahman5Department of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kelantan, MalaysiaDepartment of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kelantan, MalaysiaDepartment of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kelantan, MalaysiaDepartment of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kelantan, MalaysiaDepartment of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kelantan, MalaysiaDepartment of Pathology, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kelantan, MalaysiaParotid gland surgery can be challenging due to intricate relationship between the gland and facial nerve. Besides complete removal of the lesion, the main focus of surgery is centered on the facial nerve. Surgery can be technically demanding especially when the tumor is large or involves the deep lobe. We report a patient with a 30-year history of gigantic parotid mass, which initial fine-needle aspiration cytology reported as pleomorphic adenoma. The tumor, weighing 1.3 kg, was successfully resected with facial nerve preservation. Histopathological examination of the excised mass confirmed as carcinoma ex pleomorphic adenoma (CaExPA) of adenocarcinoma, not otherwise specified type. We describe the specific surgical and reconstruction techniques for successful removal of large parotid tumors with facial nerve preservation. To our knowledge, this is the heaviest CaExPA of the parotid gland in South-East Asian region.http://omjournal.org/articleDetails.aspx?coType=1&aId=2138AdenomaPleomorphicBiopsyFine-NeedleMalignant |
| spellingShingle | Thevagi Maruthamuthu Jeyasakthy Saniasiaya Irfan Mohamad Sanjeevan Nadarajah Norhafiza Mat Lazim Wan Faiziah Wan Abdul Rahman Carcinoma Ex Pleomorphic Adenoma Presented as a Gigantic Tumor: Treatment and Diagnostic Challenges Oman Medical Journal Adenoma Pleomorphic Biopsy Fine-Needle Malignant |
| title | Carcinoma Ex Pleomorphic Adenoma Presented as a Gigantic Tumor: Treatment and Diagnostic Challenges |
| title_full | Carcinoma Ex Pleomorphic Adenoma Presented as a Gigantic Tumor: Treatment and Diagnostic Challenges |
| title_fullStr | Carcinoma Ex Pleomorphic Adenoma Presented as a Gigantic Tumor: Treatment and Diagnostic Challenges |
| title_full_unstemmed | Carcinoma Ex Pleomorphic Adenoma Presented as a Gigantic Tumor: Treatment and Diagnostic Challenges |
| title_short | Carcinoma Ex Pleomorphic Adenoma Presented as a Gigantic Tumor: Treatment and Diagnostic Challenges |
| title_sort | carcinoma ex pleomorphic adenoma presented as a gigantic tumor treatment and diagnostic challenges |
| topic | Adenoma Pleomorphic Biopsy Fine-Needle Malignant |
| url | http://omjournal.org/articleDetails.aspx?coType=1&aId=2138 |
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