Can pleomorphic adenoma be cured?

The treatment of choice for pleomorphic adenomas is surgery, although there is the risk of damaging the nerve and causing a facial paresis. For surgically non resectable tumours, radiation therapy is widely used, which is also an effective adjuvant therapy.

What is the recurrence rate for pleomorphic adenoma?

Pleomorphic adenoma is the most common tumor of the parotid gland. Enucleation alone is associated with high recurrence rates (8%–45%), owing to the invasive histopathologic characteristics of the tumor. In contrast, total parotidectomy is associated with a much lower rate of recurrence at 0.4% [1,2].

Are pleomorphic adenoma cancerous?

Although pleomorphic adenomas are benign parotid tumors, it has the potential to turn malignant. The incidence of malignant transformation increases with the duration of the tumor.

How fast do pleomorphic adenomas grow?

Conclusions: The median growth rate for enlarging tumors is estimated at 10.2% per year. Due to variability, tumor growth rate should be estimated on an individual patient basis. For slow-growing tumors, physicians may weigh the risk of this slow growth with the morbidity of reoperation.

Should pleomorphic adenoma be removed?

Due to the aggressive nature of this tumor, and poor cure rate, it is advised that benign Pleomorphic adenomas be removed to prevent transformation into this cancer.

How fast does pleomorphic adenoma grow?

Is a parotidectomy major surgery?

A parotidectomy is the surgical excision (removal) of the parotid gland, the major and largest of the salivary glands. The procedure is most typically performed due to neoplasms (tumors), which are growths of rapidly and abnormally dividing cells….

Parotidectomy
Specialty endocrinology

Does a pleomorphic adenoma cause pain?

The lesion occurs most often in the parotid gland but may also arise in the submandibular, sublingual and minor salivary glands. Pleomorphic adenoma typically presents as a slow-growing, painless, firm mass and is only occasionally associated with facial palsy or pain.

Is pleomorphic adenoma painful?

The signs and symptoms of pleomorphic adenoma typically include the growth of a smooth, painless mass on one side of the face that gradually enlarges over time. It typically begins as a painless lump at the back of the jaw, just below the earlobe.

What are side effects by removing the parotid gland?

Post-operative complications of parotid gland surgery (Table ​I)

  • Facial palsy.
  • Hypoesthesia of greater auricular nerve.
  • Amputation neuroma.
  • Cosmetic problems.
  • Haemorrhage or haematoma.
  • Infection.
  • Trismus.
  • Wound seroma.