Giant parotid pleomorphic adenoma in a Nigerian male.

Autor:	Akintububo OB; Department of Oral and Maxillofacial Surgery, Federal Teaching Hospital, Gombe, Nigeria., Ogundipe OK; Department of Oral and Maxillofacial Surgery, Federal Teaching Hospital, Gombe, Nigeria., Kaltungo ZY; Department of Surgery, Federal Teaching Hospital, Gombe, Nigeria., Guduf MI; Department of Surgery, Federal Teaching Hospital, Gombe, Nigeria., Pindiga UH; Department of Pathology, Federal Teaching Hospital, Gombe, Nigeria., Abdullahi YM; Department of Pathology, Federal Teaching Hospital, Gombe, Nigeria.
Jazyk:	angličtina
Zdroj:	Nigerian journal of clinical practice [Niger J Clin Pract] 2016 Sep-Oct; Vol. 19 (5), pp. 681-4.
DOI:	10.4103/1119-3077.188694
Abstrakt:	Pleomorphic adenoma (PA) is the most common benign salivary gland tumor, accounting for up to 60% of all tumors of the salivary gland and 75-80% of all parotid tumors. It has a slow but progressive growth pattern and if untreated can become greatly enlarged in size. However, giant PA is uncommon. We report a case of giant parotid PA of more than 10 years duration in a 60-year-old male Nigerian. A 60-year-old male patient with 10-year history of painless, massive, and pedunculated swelling in the left side of lower face measuring 25 cm × 23 cm × 17 cm in dimension. Computerized tomographic scan and percutaneous fine needle aspiration cytology returned a preliminary diagnosis of PA. Superficial parotidectomy with facial nerve preservation via the transcervical approach was performed. The excised mass weighed 5.5 kg while the postoperative healing was satisfactory. Benign PAs may attain a giant size if left untreated. Socioeconomic problems are some of the reasons for late presentation. Adequate excision of the tumor sparing the facial nerve is possible but intraoperative and reactionary hemorrhage are likely complications.
Databáze:	MEDLINE
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