关键词: benign mixed tumor parotid gland parotidectomy pleomorphic adenoma salivary gland tumors

来  源:   DOI:10.7759/cureus.62791   PDF(Pubmed)

Abstract:
Parotid gland is the largest salivary gland of the body. Pleomorphic adenomas are the most prevalent benign parotid gland tumors. They can eventually grow to a size where they weigh several kilograms if not timely addressed. The \'pleomorphic\' characteristics are attributed to the origin of the tumor from the connective tissue and epithelium. Pleomorphic adenomas often arise from the superficial lobe, further extending into the parapharyngeal space and gland\'s other deeper tissues. Common incidence is noted in females between 30 and 50 years. Tumors typically present as asymptomatic swelling and progress slowly. The cornerstone of treatment is surgical removal of the tumor mass, with great care being given to protect the facial nerve. Most of these tumors are observed with the involvement of the superficial lobe; only a few are observed involving the deep lobe. This case report presents an intriguing case of a pleomorphic adenoma of superficial and deep parotid gland in a 65-year-old male. The left side of the patient\'s face had a steadily increasing, asymptomatic swelling on admission. Magnetic resonance imaging of the neck revealed a pleomorphic adenoma of the superficial and deep parotid gland. The patient underwent surgical excision of the parotid gland, which was uneventful.
摘要:
腮腺是人体最大的唾液腺。多形性腺瘤是最常见的腮腺良性肿瘤。如果不及时解决,它们最终可以长到几公斤重的大小。多形性特征归因于结缔组织和上皮的肿瘤起源。多形性腺瘤通常起源于浅叶,进一步延伸到咽旁间隙和腺体的其他深层组织。在30至50岁之间的女性中常见发病率。肿瘤通常表现为无症状肿胀,进展缓慢。治疗的基石是手术切除肿瘤块,非常小心地保护面神经。观察到这些肿瘤中的大多数涉及浅叶;只有少数涉及深叶。此病例报告介绍了一名65岁男性浅表和深层腮腺多形性腺瘤的有趣病例。患者面部的左侧有一个稳定的增加,入院时无症状肿胀。颈部磁共振成像显示浅表和深层腮腺多形性腺瘤。患者接受了腮腺手术切除,这是平安无事的。
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