Pleomorphic adenoma of the parotid in childhood

• Published in: Journal of cranio-maxillo-facial surgery 2002-08, Vol.30 (4), p.242-245
• Main Authors: Garcia-Perla, Alberto, Muñoz-Ramos, Macarena, Infante-Cossio, Pedro, Mayorga-Jimenez, Francisco, Gutierrez-Perez, Jose L., Garcia-Perla, Alvaro
• Format: Article
• Language: English
• Subjects: Adenoma, Pleomorphic - diagnosis; Adenoma, Pleomorphic - epidemiology; Adenoma, Pleomorphic - surgery; Adolescent; Biological and medical sciences; Child; Dentistry; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics; Humans; Male; Medical sciences; Otorhinolaryngology. Stomatology; Parotid Neoplasms - diagnosis; Parotid Neoplasms - epidemiology; Parotid Neoplasms - surgery; Spain - epidemiology; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the upper aerodigestive tract; Tumors; Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
• ISSN: 1010-5182; 1878-4119
• DOI: 10.1054/jcms.2002.0306

Introduction: Pleomorphic adenoma is a benign growth that most often appears in the parotid gland where it is the most frequent type of tumour. Its appearance in childhood is rare and there are no large series available in this age group for comparison with its presentation in adults. Surgical treatment is similar in children and in adults; whilst the prognosis is good, they may become malignant and metastasize. Material and Method: In this study, we present seven parotid pleomorphic adenomas in childhood treated in our Department and a review of the literature. The following data were evaluated: sex, age, affected side, clinical symptoms and period of evolution of the symptoms, surgical technique applied and complications observed. Results: The mean age at presentation was 12.4 years. All patients were males with the right side affected in five patients. The treatment was conservative superficial parotidectomy in five patients, conservative total parotidectomy in one, and an enucleation including a wide safety margin in the last case. None of the patients exhibited any permanent postoperative complication. The mean follow-up was 41.3 months (26–58 months). Copyright 2002 European Association for Cranio-Maxillofacial Surgery. Published by Elsevier Science Ltd. All rights reserved.