Parotid masses: Evaluation, analysis, and current management

Abstract

Two hundred thirty-one sequential parotid masses seen from January 1982 to July 1986 were reviewed for their clinical presentation, diagnostic evaluation, pathologic findings, and therapeutic approach. The results were compared with the previously reported findings on parotid masses. There were 146 (63.2%) benign tumors, 50 (21.6%) malignancies, and 35 (15.2%) nonmalignant lesions. Tumors were classified according to their histopathologic diagnosis. An asymptomatic mass was the most common presentation. Radiological evaluation was mainly with computed tomography. The primary surgical procedure was parotidectomy with facial nerve preservation. A selected group of patients was referred for radiation therapy. Our study demonstrated that non-neoplastic lesions contribute a significant number of masses in the differential diagnosis of parotid tumors. Metastatic squamous cell carcinoma was the most frequently encountered malignancy. Deep lobe tumors were twice as common as previously reported.

Role of computed tomography in the evaluation of neck masses

“…The tumor had ill-defined borders with heterogeneous enhancement and central non enhancing region, lesion causing mass effect on parapharyngeal space and compressing the internal jugular rein. The imaging appearance correlated with the study of Byrne MN et al [24] and Camacho AE et al [25] .…”

Rare Carcinoma Ex-pleomorphic Adenoma of Buccal Mucosa: Case Report and Review of Literature

“… 3 The cancer is also known to occur in minor salivary glands in oral cavity particularly hard and soft palate. 4 , 5 CXPA from buccal mucosa is extremely rare and only few case reports have been reported. 2 , 3 , 6 Therefore from point of view of tumor origin, this case seems rare.…”

Benign Parotid Lesions: Is Near Total Parotidectomy Justified?

“…Approximately 75% to 85% of these neoplasm occur in the parotid gland of which 70% to 80% are benign. [1][2][3][4][5] The aim of treatment for benign parotid tumours is the complete eradication of the tumour. The 2 most common complications that may arise from an incompletely excised pleomorphic adenoma are recurrences and malignant change.…”

“…Benign lesions of the parotid gland constitute about 80% of parotid tumours. [1][2][3][4][5] They include various lesions (Table 1), the commonest being pleomorphic adenoma, followed by adenolymphoma. Various modes of treatment have been advocated for benign parotid tumours ranging from enucleation to near-total parotidectomy.…”