Hostname: page-component-586b7cd67f-l7hp2 Total loading time: 0 Render date: 2024-11-24T08:52:31.292Z Has data issue: false hasContentIssue false

Recurrent pleomorphic adenoma

Published online by Cambridge University Press:  29 June 2007

S. R. Jackson
Affiliation:
Department of Otorhinolaryngology, University of Liverpool
N.J. Roland
Affiliation:
Department of Otorhinolaryngology, University of Liverpool
R. W. Clarke
Affiliation:
Department of Otorhinolaryngology, University of Liverpool
A. S. Jones*
Affiliation:
Department of Otorhinolaryngology, University of Liverpool
*
Professor A. S. Jones, Department of Otorhinolaryngology, University of Liverpool, P0 Box 147, Liverpool L69 3BX

Abstract

Of 209 cases of pleomorphic adenoma treated in a 30 year period, 38 were secondary referrals with recurrent disease following surgery. Of these, 25 were women and 13 men with a mean time to recurrence of 9 years 4 months. Thirty-four recurrences were in the parotid gland. three in the submandibular gland and one in the anterior faucial pillar.

Seven patients were untreated due to poor general condition or refusal of further treatment. Of the remainder, 15 had superficial parotidectomy and excision of the scar and nine a total parotidectonly. Three of these had extensive surgery with local flap repair. Of the patients with submandibular gland recurrence, two had local excision and one was treated with radiotherapy alone. One patient had a recurrence in the laucial pillar. Three patients developed malignant change in the recurrent tumour. of whom one died of disease.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alajmo, E., Polli, D., de Meester, W. (1989) Total parotidectomy—a routine treatment for parotid gland swellings? Journal of Laryngology and Otology 103: 181186CrossRefGoogle ScholarPubMed
Armistead, P. R., Smiddy, F. G., Frank, H. G. (1979) Simple enucleation and radiotherapy in the treatment of the pleomorphic salivary adenoma of the parotid gland. British Journal of Surgery 66: 716717CrossRefGoogle Scholar
Batsakis, J. (1979) Tumors of the major salivary glands. In Tumors of the Head and Neck. 2nd Edition. Williams and Wilkins, Baltimore, pp 176.Google Scholar
Belsky, J. L., Tachikawa, K., Cihak, R. W., Yamamoto, T. (1972) Salivary gland tumors in atomic bomb survivors. Hiroshima— Nagasaki, 1957 to 1970. Journal of the American MedicalAssociation 219: 864868CrossRefGoogle ScholarPubMed
Conley, J., Clainnont, A. A. (1979) Facial nerve in recurrent benign pleomorphic adenoma. Archives of Otolaryngology 1- 5: 247251CrossRefGoogle Scholar
Dawson, A. K. (1989) Radiation therapy in recurrent pleomorphic adenoma of the parotid. International Journal of Radiation Oncology, Biology and Physiology 16 (3): 819821CrossRefGoogle ScholarPubMed
Eneroth, C. M., Blanck, C., Jakobsson, P. A. (1968) Carcinoma in pleomorphic adenoma of the parotid gland. Acta Otolaryngologica 66: 477492CrossRefGoogle ScholarPubMed
Fee, W E., Goffinet, D. R., Calcaterra, T. C. (1978) Mixed tumours of the parotid gland—results of surgical therapy. The Laryngoscope 88: 265273CrossRefGoogle ScholarPubMed
Fleming, W. B. (1987) Recurrent pleomorphic adenoma of the parotid. Australian and New Zealand Journal of Surgery 57: 173176CrossRefGoogle ScholarPubMed
Gleave, E. N., Whittaker, J. S., Nicholson, A. (1979) Salivary tumours—experience over thirty years. Clinical Otolaryngology 4: 247257CrossRefGoogle ScholarPubMed
Hancock, B. D. (1987) Pleomorphic adenoma of the parotid: removal without rupture. Annals of the Royal College of Surgeons of England 69: 293295Google ScholarPubMed
Hanna, D. C., Dickason, W. L., Richardson, G. S., Gaisford, J. C. (1976) Management of recurrent salivary gland tumours. The American Journal of Surgery 132: 453458CrossRefGoogle Scholar
Hawe, M. J. G., Millar-Bell, D. (1982) Superficial parotidectomy for pleomorphic parotid adenomas. Clinical Oncology 8: 207213Google Scholar
Krolls, S. O., Boyers, R. C. (1972) Mixed tumours of the salivary glands. Cancer 30: 2762813.0.CO;2-V>CrossRefGoogle ScholarPubMed
Lindsey-Stevens, K., Hobsley, M. (1982) The treatment of pleomorphic adenomas by formal parotidectomy. British Journal of Surgery 69: 13CrossRefGoogle Scholar
Malone, B., Baker, S. R. (1984) Benign pleomorphic adenomas in children. Annals of Otology, Rhinology and Laryngology 93: 210214CrossRefGoogle ScholarPubMed
Maran, A. G. D., Mackenzie, I. J., Stanley, R. E. (1984) Recurrent pleomorphic adenoma of the parotid gland. Archives of Otolaryngology 110: 167171CrossRefGoogle Scholar
Maynard, J. D. (1988) Management of pleomorphic adenoma of the parotid. British Journal of Surgery 75 (4): 305308CrossRefGoogle ScholarPubMed
McEvedy, B. V., Ross, W. M. (1976) The treatment of mixed parotid tumours by enucleation and radiotherapy. British Journal of Surgery 63: 341342CrossRefGoogle Scholar
McGregor, A. D., Burgoyne, M., Tan, K. C. (1988) Recurrent pleomorphic salivary adenoma—the relevance of age at first presentation. British Journal of Plastic Surgery 41: 177181CrossRefGoogle ScholarPubMed
Myssiorek, D., Ruah, C. B., Hybels, R. L. (1980) Recurrent pleomorphic adenomas of the parotid gland. Head and Neck Surgery 12: 332336Google Scholar
Niparko, J. K., Beauchamp, M. L., Krause, C. J., Baker, S. R., Work, w. P. (1986) Surgical treatment of recurrent pleomorphic adenoma of the parotid gland. Archives of Otolaryngology 112: 11801184CrossRefGoogle ScholarPubMed
Schneider, A. R., Favus, M. J., Stachura, M. E., Arnold, M. J., Frohman, L. A. (1977) Salivary gland neoplasms as a late consequence of head and neck irradiation. Annals of Internal Medicine 87: 160164CrossRefGoogle ScholarPubMed
Sener, S. F, Scanlon, E. F (1980) Irradiation induced salivary gland neoplasia. Annals of Surgery 191: 304306CrossRefGoogle ScholarPubMed
Watkin, G. T., Hobsley, M. (1986 a) Influence of local surgery and radiotherapy on the natural history of pleomorphic adenomas. British Journal of Surgery 73 (1): 7475CrossRefGoogle ScholarPubMed
Watkin, G. T., Hobsley, M. (1986 b) Should radiotherapy be used routinely in the management of benign parotid tumours? British Journal of Surgery 73 (8): 601603CrossRefGoogle ScholarPubMed
Wennmo, C., Spandow, O., Emgard, P., Krouthen, B. (1988) Pleomorphic adenomas of the parotid gland: superficial parotidectomy or limited excision? Journal of Laryngology and Otology 102: 603605CrossRefGoogle ScholarPubMed
Zhang, W. D. A., Liu, S. Jun., Donoff, B. R., Guralnick, W. (1985) A modified centripetal approach to parotidectomy. Journal of Oral and Maxillofacial Surgery 43: 1419Google Scholar