Management of parapharyngeal giant pleomorphic adenoma

Infante-Cossio, Pedro; Gonzalez-Cardero, Eduardo; González-Pérez, L.M.; Leopoldo-Rodado, Manuel; García-Perla, Alberto; Esteban, Francisco

doi:10.1007/s10006-011-0289-2

Cited by 21 publications

(42 citation statements)

References 20 publications

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“…[2] This complex space is anatomically surrounded by numerous structures[3] and divided by the styloid process into the pre- and post-styloid spaces. [4] The rationale behind this subdivision is that the different structures occupying these subspaces can be the source of various tumors with an anatomic space of origin suggestive of their nature.…”

Section: Discussionmentioning

confidence: 99%

Largest De Novo parapharyngeal pleomorphic adenoma: A rare case removed via minimal access approach

Malhotra

Arora

Rai

2017

Ann Maxillofac Surg

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Section: Discussionmentioning

confidence: 99%

Largest De Novo parapharyngeal pleomorphic adenoma: A rare case removed via minimal access approach

Malhotra

Arora

Rai

2017

Ann Maxillofac Surg

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“…Parapharyngeal space tumours account for 0.5% of all head and neck masses but they are common enough to warrant a high index of suspicion [5].…”

Section: Discussionmentioning

confidence: 99%

Prieryklinio tarpo navikų diagnostikos ypatybės ir sunkumai

Senkus¹,

Gibavičienė²,

Čepulis³

2016

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ĮžangaPrieryklinio tarpo navikai, dažniausiai nepiktybiniai, sudaro apie 0,5 % galvos ir kaklo srities navikų. Jie yra reti, todėl daugelis gydytojų per savo praktiką su šia patologija susiduria nedažnai. Svarbu išskirti kelis prieryklinio tarpo navikų diagnostikos ypatumus: simptomai yra įvairūs ir nespecifiški, o objektyvūs požymiai pasireiškia, kai navikas yra vėlesnės stadijos.Medžiaga ir metodaiŠiame straipsnyje apibendrinami retrospektyviosios šešių prieryklinio tarpo navikų atvejų analizės diagnostiniai aspektai. Visi aptariami pacientai buvo gydyti Nacionaliniame vėžio institute nuo 2004 iki 2016 metų. Straipsnyje apžvelgiame mokslinę literatūrą ir nagrinėjame diagnostikos seką, atkreipdami dėmesį į prieryklinio tarpo navikų diagnozavimo ypatumus bei sunkumus.RezultataiBuvo diagnozuoti trys gerybiniai ir trys piktybiniai navikai. Pacientai skundėsi įvairiais, daugiausia nespecifiniais, simptomais.Daugumai pacientų buvo atlikta priešoperacinė aspiracinė biopsija plona adata, visiems – priešoperacinis radiologinis tyrimas (kompiuterinė tomografija ir (ar) magnetinio rezonanso tomografija.IšvadosVisi gydytojai, susiduriantys su šia patologija, turėtų atkreipti dėmesį, kad prieryklinio tarpo navikų simptomai dažniausiai būna nespecifiniai, o objektyvūs požymiai pasireiškia navikui jau pažengus. Kalbant apie diagnostikos seką, aspiracinė biopsija plona adata yra būtinas tyrimas, siekiant išvengti histologinių netikėtumų. Radiologinis tyrimas, ypač magnetinio rezonanso tomografija, yra naudingas vertinant naviko kilmę, dydį, iš dalies ir tipą.

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“…Up to 80% are benign and 40–50% originate from the salivary glands, with pleomorphic adenoma being the most common [2]. They are often large at the time of presentation as they may be asymptomatic or misdiagnosed when being small [1]. …”

Section: Discussionmentioning

confidence: 99%

“…It forms an inverted pyramid with the skull base superiorly and the apex at the joint between the posterior belly of the digastric muscle and the greater cornu of the hyoid bone [1]. …”

Section: Introductionmentioning

confidence: 99%

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GiantDe NovoPleomorphic Adenoma Arising from the Parapharyngeal Space

Hwang

Choroomi

McArdle

et al. 2013

Case Reports in Otolaryngology

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Introduction. De novo pleomorphic adenomas in the parapharyngeal space are rare and cause difficulties in its surgical management. We report the largest de novo pleomorphic adenoma arising from the parapharyngeal space and discuss its surgical management. Presentation of Case. A 34-year-old male presented with a giant de novo pleomorphic adenoma arising from the parapharyngeal space, which was initially misdiagnosed as an impacted wisdom tooth. Measuring 8.4 × 6.5 × 3.9 cm in size and weighing 87.3 g, this is the largest primary salivary gland tumour arising de novo from the parapharyngeal space reported in the literature, presenting challenges in its surgical management. Discussion. Parapharyngeal space tumours cause nonspecific symptoms and may be difficult to diagnose, which can allow the tumours to become very large and cause obstructive and compressive symptoms in an anatomically difficult area. A combined trans-cervical and trans-oral approach can be used to safely perform an en bloc resection. Conclusion. We report the diagnosis and surgical management of the largest pleomorphic adenoma arising de novo from the parapharyngeal space reported in the literature.

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Management of parapharyngeal giant pleomorphic adenoma

Abstract: Preoperative diagnosis management of PPS giant tumors should be based on imaging and upon open transoral biopsy if possible. The transparotid-intraoral approach provided adequate visibility to remove large PAs involving the prestyloid PPS.

Cited by 21 publications

References 20 publications

Largest De Novo parapharyngeal pleomorphic adenoma: A rare case removed via minimal access approach

Largest De Novo parapharyngeal pleomorphic adenoma: A rare case removed via minimal access approach

Prieryklinio tarpo navikų diagnostikos ypatybės ir sunkumai

GiantDe NovoPleomorphic Adenoma Arising from the Parapharyngeal Space

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