Guidelines of the French Society of Otorhinolaryngology–Head and Neck Surgery (SFORL), part I: Primary treatment of pleomorphic adenoma

Vergez, S.; Fakhry, Nicolas; Cartier, C.; Kennel, Titouan; Courtade-Saïdi, Monique; Uro‐Coste, Emmanuelle; Varoquaux, A.; Righini, Christian; Malard, O.; Mogultay, P.; Thariat, Juliette; Tronche, Sébastien; Garrel, R.; Chevalier, Dominique

doi:10.1016/j.anorl.2020.09.002

Cited by 18 publications

(19 citation statements)

References 44 publications

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“…In pleomorphic adenoma, the old debate between total versus superficial parotidectomy is now between parotidectomy (at least a lobectomy) and tumor-wide resection, including normal gland tissue (i.e., extracapsular resection) [13]. In our cases, the extent of the resection was dictated by the location of the lesion; four patients underwent superficial parotidectomy, one patient underwent deep lobe parotidectomy via a cervical incision for a deep lobe lesion, and another case underwent total parotidectomy.…”

Section: Discussionmentioning

confidence: 99%

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Parotid gland masses: outcomes in the pediatric age group

Younes

Taher

Sidhom

et al. 2023

J Egypt Natl Canc Inst

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Background Childhood parotid neoplasms appear to have different characteristics from adults. This point, in addition to the rarity of these tumors, reflects the challenges faced in diagnosing and treating parotid neoplasms in children. Patients and methods This retrospective study included all children who presented to the Children’s Cancer Hospital Egypt (CCHE, 57357) with parotid masses from January 2008 to December 2020. Results Twenty-one patients were included. Malignant neoplasms were found in 12 (57.1%) of which mucoepidermoid carcinoma was the most common. Benign neoplasms were found in 6 (28.6%) all of them were pleomorphic adenoma, and non-neoplastic lesions were found in 3 (14.3%). Superficial, deep, or total parotidectomy was performed according to the involved lobes. The facial nerve was sacrificed in three cases because of frank invasion by the tumor. Neck dissection was considered in clinically positive lymph nodes and/or T3/4 masses. Complications occurred in 7 (33.3%) all were of the malignant cases. Adjuvant radiotherapy was restricted to high-risk cases (7 cases). Recurrence occurred in two cases, and one patient died of distant metastasis. Fine needle aspiration cytology (FNAC) showed 88.9% sensitivity and 100% specificity for diagnosing malignant neoplasms. The correlation of radiological and pathological staging was fair (66.74% for overall staging). Conclusions Parotidectomy is the backbone treatment for benign and malignant pediatric parotid tumors. Neck nodal dissection should be considered after preoperative FNAC of suspicious nodes. Adjuvant radiotherapy is considered only in high-risk tumors. Preoperative FNAC of parotid masses and clinically suspicious lymph nodes is highly recommended.

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Section: Discussionmentioning

confidence: 99%

“…To limit the risk of the misdiagnosis of pleomorphic adenoma, the Milan system classifies pleomorphic adenoma with non-classical aspects as salivary tumors of uncertain malignant potential. The final pathology may consist of a myoepithelial cell tumor, adenoid cystic carcinoma, carcinoma ex pleomorphic adenoma, or MEC [13].…”

Section: Discussionmentioning

confidence: 99%

Parotid gland masses: outcomes in the pediatric age group

Younes

Taher

Sidhom

et al. 2023

J Egypt Natl Canc Inst

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“…2 Ultrasound exam is the first line technique in accessible lesions to rule out differential diagnosis. 4 However, it has limited specificity in PA and poor performance in the preoperative planning. 5 It could mislead the diagnosis as reported in our case.…”

Section: Discussionmentioning

confidence: 99%

“…Because it could be difficult to carry out in children without sedation and has the risk of insufficient cells for accurate diagnosis. 5 When sufficient specimen is obtained, cytology/histology concordance was reported to be 97.5% in PA. 4 Magnetic resonance image is the examination of choice for the characterization of the pleomorphic adenoma. 6 It provides an excellent soft tissue study and a precise analysis of the lesion: its location, size, extent, margins, and signal intensity, 7 without exposure to radiation.…”

Section: Discussionmentioning

confidence: 99%

Pleomorphic Adenoma of the Submandibular Gland in a 10-Year-Old Child: A Case Report

et al. 2021

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We report the case of a 10-year-old girl with a painless slowly growing mass that had developed over the course of 2 years in the left submandibular area. Physical examination revealed a firm painless submandibular mass with no other associated signs. Ultrasound graphics were in favor of a sebaceous cyst. Fine-needle aspiration and magnetic resonance images (MRI) concluded to a pleomorphic adenoma of the submandibular gland. The patient underwent left submandibulectomy. Histopathological examination confirmed the diagnosis of pleomorphic adenoma arising from the submandibular gland. The postoperative course was uneventful. Pleomorphic adenoma of the submandibular gland represents a diagnostic and therapeutic dilemma in children. Preoperative evaluation, including MRI and fine-needle aspiration, is recommended. Total submandibulectomy is also recommended to minimize recurrences and to avoid malignant transformation.

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“…This approach is in line with the findings of Mifsud et al 5 and de Rue et al 6 and the recommendations of the French Society of Otorhinolaryngology-Head and Neck Surgery (SFORL). 7 This approach is based on data that indicates a very high sensitivity and specificity for FNAC [2][3][4] and a lower diagnostic accuracy for imaging. modalities including magnetic resonance imaging (MRI) and ultrasonography.…”

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confidence: 99%

Diagnosis of salivary gland tumors: Does the triple diagnosis method have value?

Preston

Esebua

Layfield

2023

Diagnostic Cytopathology

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Background: Appropriate clinical management of salivary gland lesions requires a determination as to whether a salivary gland nodule is benign or malignant. Approximately three-quarters of all salivary gland nodules represent benign neoplasms. Separation of salivary gland carcinomas from benign lesions can be diagnostically challenging. The Milan System for Reporting Salivary Gland Cytopathology recommends the correlation of cytologic diagnoses with imaging and clinical findings creating a diagnostic triplet. How often the "Triple Diagnosis" method is used and its accuracy in separating salivary gland nodules into benign and malignant groups are unknown.Methods: An electronic records search of cytology files at the University of Missouri was performed for fine needle aspirates of the salivary gland obtained between September 2018 and August 2022. Chart review was performed for preoperative clinical and imaging diagnoses. Diagnostic "Triplets" constructed from cytologic, clinical, and imaging diagnoses were correlated with final surgical pathology diagnosis.Results: One hundred and thirty-six FNAs were identified. Eighty-seven cases had preoperative imaging with 52 of these cases having clinical diagnoses. Due to the lack of a definitive clinical or imaging diagnosis for a nodule as benign or malignant, only 12 (23%) cases had definitive "Triplets." Nine (17%) "Triplets" were benign and three (6%) were malignant. Accuracy of concordant triplets was 100% for the prediction of malignancy and 89% for the prediction of a benign result as determined by final histologic diagnoses. Conclusion:While highly accurate in predicting the benign or malignant nature of a salivary gland nodule, concordant triplets made up only 23% of cases limiting their clinical utility.

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Guidelines of the French Society of Otorhinolaryngology–Head and Neck Surgery (SFORL), part I: Primary treatment of pleomorphic adenoma

Cited by 18 publications

References 44 publications

Parotid gland masses: outcomes in the pediatric age group

Parotid gland masses: outcomes in the pediatric age group

Pleomorphic Adenoma of the Submandibular Gland in a 10-Year-Old Child: A Case Report

Diagnosis of salivary gland tumors: Does the triple diagnosis method have value?

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