Etiology and management of recurrent parotid pleomorphic adenoma

Witt, Robert Lee; Eisele, David W; Morton, Randall P; Nicolai, Piero; Poorten, Vincent Vander; Zbären, Peter (2014). Etiology and management of recurrent parotid pleomorphic adenoma. Laryngoscope, 125(4), pp. 888-893. Wiley-Blackwell 10.1002/lary.24964

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The objective of this review study was to encompass the relevant literature and current best practice options for this challenging, sometimes incurable problem. The source of the data was Ovid MEDLINE from 1946 to 2014. Review methods consisted of articles with clinical correlates. The most important cause of recurrence is enucleation with rupture and incomplete tumor excision at operation. Incomplete pseudocapsule, extracapsular extension, pseudopods of pleomorphic adenoma tissue, and satellite pleomorphic beyond the pseudocapsule are also likely linked to recurrent pleomorphic adenoma. Most recurrent pleomorphic adenoma are multinodular. Magnetic resonance imaging is the imaging study of choice for recurrent pleomorphic adenoma. Nerve integrity monitoring may reduce morbidity for recurrent pleomorphic adenoma. Treatment of recurrent pleomorphic adenoma must be individualized. Total parotidectomy, given the multicentricity of recurrent pleomorphic adenoma, is appropriate in many patients, but may be inadequate to control recurrent pleomorphic. There is accumulating evidence from retrospective series that postoperative radiation therapy results in significantly better local control. LEVEL OF EVIDENCE NA Laryngoscope, 2014.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ear, Nose and Throat Disorders (ENT)

UniBE Contributor:

Zbären, Peter

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0023-852X

Publisher:

Wiley-Blackwell

Language:

English

Submitter:

Lilian Tschan

Date Deposited:

20 Mar 2015 11:40

Last Modified:

16 Nov 2015 10:24

Publisher DOI:

10.1002/lary.24964

PubMed ID:

25289881

Uncontrolled Keywords:

pleomorphic adenoma, benign mixed tumor, recurrence, management, etiology

BORIS DOI:

10.7892/boris.65641

URI:

https://boris.unibe.ch/id/eprint/65641

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